DR. GREGORY SPENCER MYNKO M.D. NPI 1225046568

NPI Information

NPI: 1225046568
Provider Name: DR. GREGORY SPENCER MYNKO, M.D.
Classification: Anesthesiology - 207LP2900X
Entity Type: Individual

Specialization: Pain Medicine

Address:
32475 OAK KNOLL LN
LAKE ELSINORE, CA
ZIP 92530
Phone: (951) 609-5028
Get Directions

DR. Gregory Spencer Mynko, M.D. is a pain medicine anesthesiology in Lake Elsinore, CA. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. DR. Gregory Spencer Mynko, M.D. NPI is 1225046568. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

32475 OAK KNOLL LN
LAKE ELSINORE, CA
ZIP 92530-324
Phone: (951) 609-5028
Fax: (951) 678-4287

The enumeration date for this NPI number is 8/3/2006 and was last updated on 4/15/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207LP2900X	Anesthesiology	Pain Medicine	G 74144	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G 74144	OTHER	CALIFORNIA	CA STATE MEDICAL LICENSE
2	I02156	MEDICARE UPIN
3	00G741440	MEDICARE ID-TYPE UNSPECIFIED		MEDICARE PROVIDER
4	BM8805422	OTHER	CALIFORNIA	DEA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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