Provider Demographics
NPI:1215265095
Name:GREGORY J. SZAL, M.D., INC.
Entity type:Organization
Organization Name:GREGORY J. SZAL, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SZAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-531-9423
Mailing Address - Street 1:16415 COLORADO AVE
Mailing Address - Street 2:SUITE 408
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-5083
Mailing Address - Country:US
Mailing Address - Phone:562-531-9423
Mailing Address - Fax:
Practice Address - Street 1:16415 COLORADO AVE
Practice Address - Street 2:SUITE 408
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-5083
Practice Address - Country:US
Practice Address - Phone:562-531-9423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-06
Last Update Date:2009-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC34046261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty