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GREGORY J WIENER M D PROFESSIONAL CORPORATION NPI 1376728287


NPI Information

NPI: 1376728287
Provider Name: GREGORY J WIENER M D PROFESSIONAL CORPORATION
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
353 CHURCH AVE STE A
CHULA VISTA, CA
ZIP 91910
Phone: (619) 585-8883
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GREGORY J WIENER M D PROFESSIONAL CORPORATION is a clinic center in Chula Vista, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). GREGORY J WIENER M D PROFESSIONAL CORPORATION NPI is 1376728287. The provider is registered as an organization entity type.

The provider's business location address is:

353 CHURCH AVE STE A
CHULA VISTA, CA
ZIP 91910-906
Phone: (619) 585-8883

The provider's authorized official is Gregory James Wiener .
The authorized official title is President and has the following contact phone number (619) 585-8883.

The enumeration date for this NPI number is 1/9/2008 and was last updated on 8/14/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterA41749CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W22034OTHERCALIFORNIAMEDICARE GROUP PROVIDER
200A417490MEDICAIDCALIFORNIA
3A85692MEDICARE UPINCALIFORNIA

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: 4/28/2024

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