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Gregory J Wiener M D Professional Corporation
Clinic/Center in Chula Vista, California
NPI 1376728287

Gregory J Wiener M D Professional Corporation is a Clinic/Center based in Chula Vista, CA. Gregory J Wiener M D Professional Corporation practices in Chula Vista, CA. The NPI Number for Gregory J Wiener M D Professional Corporation is 1376728287 and holds a License No. A41749 (California).

The current practice location address for Gregory J Wiener M D Professional Corporation is 353 Church Ave Ste A, Chula Vista, CA and can be reached out via phone at 619-585-8883.

Location: 353 Church Ave Ste A, Chula Vista, CA, 91910-3906
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376728287
Provider Name
Gregory J Wiener M D Professional Corporation
Credential
Provider Entity Type
Organization
Address
353 Church Ave Ste A, Chula Vista, CA, 91910-3906
Phone Number
619-585-8883
Fax Number
Provider Enumeration Date
01/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W22034 01 CA MEDICARE GROUP PROVIDER
00A417490 05 CA
institution
Provider Business Practice Location Address Details
Address
353 Church Ave Ste A
City
Chula Vista
State
California
Zip
91910-3906
Phone Number
619-585-8883
Fax Number
person
Provider Business Mailing Address Details
Address
353 Church Ave Ste A
City
Chula Vista
State
California
Zip
91910-3906
Phone Number
619-585-8883
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
A41749 (California)
Definition
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).
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