1326221342 NPI number — GREGORY CHI-PIN MAR D.M.D.

Table of content: GREGORY CHI-PIN MAR D.M.D. (NPI 1326221342)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326221342 NPI number — GREGORY CHI-PIN MAR D.M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MAR
Provider First Name:
GREGORY
Provider Middle Name:
CHI-PIN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
D.M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326221342
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/04/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1060 E GREEN ST STE 208
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PASADENA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91106-2436
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
626-793-9109
Provider Business Mailing Address Fax Number:
626-793-9153

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1060 E GREEN ST STE 208
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PASADENA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91106-2436
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-793-9109
Provider Business Practice Location Address Fax Number:
626-793-9153
Provider Enumeration Date:
12/12/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  56481 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)