Provider Information for 1659585180
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Dr. FLOYD A MCGREGOR Jr. Ph.D.
Sex: Male
NPI: 1659585180
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1659585180 | ||||||||
| Enumeration Date | 2007-05-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 8726 S SEPULVEDA BLVD SUITE D #A131 LOS ANGELES, CA 90045-4023 United States Phone: 323-309-7708 | Fax:818-781-2389 | ||||||||
| Primary Practice Address | 14724 VENTURA BLVD STE. 1100 SHERMAN OAKS, CA 91403-3501 United States Phone: 818-995-8292 | Fax:818-986-0724 | ||||||||
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