Provider Demographics
NPI:1487913976
Name:OJI, GREG M (MD)
Entity type:Individual
Prefix:
First Name:GREG
Middle Name:M
Last Name:OJI
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:931 BUENA VISTA ST STE 302
Mailing Address - Street 2:
Mailing Address - City:DUARTE
Mailing Address - State:CA
Mailing Address - Zip Code:91010-1714
Mailing Address - Country:US
Mailing Address - Phone:201-234-9238
Mailing Address - Fax:626-358-5572
Practice Address - Street 1:931 BUENA VISTA ST STE 302
Practice Address - Street 2:
Practice Address - City:DUARTE
Practice Address - State:CA
Practice Address - Zip Code:91010-1714
Practice Address - Country:US
Practice Address - Phone:201-234-9238
Practice Address - Fax:626-358-5572
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-03
Last Update Date:2024-08-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAMD.207384208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics