| Gregory A Robertson Md A Professional Medical Corporation | |
|
20311 Sw Acacia St Ste 100 Newport Beach CA 92660-1733 | |
| (949) 891-1441 | |
| (949) 878-4845 |
| Full Name | Gregory A Robertson Md A Professional Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 20311 Sw Acacia St, Newport Beach, California |
| Authorized Official Name and Position | Gregory A Robertson (CEO) |
| Authorized Official Contact | 9498911441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory A Robertson Md A Professional Medical Corporation 20311 Sw Acacia St Ste 100 Newport Beach CA 92660-1733 Ph: (949) 891-1441 | Gregory A Robertson Md A Professional Medical Corporation 20311 Sw Acacia St Ste 100 Newport Beach CA 92660-1733 Ph: (949) 891-1441 |
| NPI Number | 1417197443 |
|---|---|
| Provider Enumeration Date | 03/04/2009 |
| Last Update Date | 07/12/2016 |
| Medicare PECOS PAC ID | 1759673726 |
|---|---|
| Medicare Enrollment ID | O20160712001596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417197443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G50555 (California) | Primary |
| Provider Name | Gregory A Robertson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932281011 PECOS PAC ID: 2961571245 Enrollment ID: I20120323000136 |
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