Mynko, Gregory Spencer

Mynko, Gregory Spencer is an sole proprietor health care provider with primary practice located at 32475 Oak Knoll Ln , Lake Elsinore CA 92530-8324. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Mynko, Gregory Spencer can be contacted via phone (951) 609-5028.

Contact Information

Primary practice address
32475 Oak Knoll Ln Lake Elsinore CA 92530-8324
Phone: (951) 609-5028
Fax: (951) 678-4287
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X G 74144 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X G74144 California

Profile Details

NPI number 1225046568
LBN Legal business name Mynko, Gregory Spencer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Jul 16th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225046568 NPPES
California Other G 74144 CA STATE MEDICAL LICENSE

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