Dr. Greg A Loitz
Oral & Maxillofacial Surgeon
33 Palma Ave
La Selva Beach
, California 95076-1729
Dr. Greg A Loitz
Oral & Maxillofacial Surgeon
33 Palma Ave
La Selva Beach
, California 95076-1729
(833) 233-3943
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Greg A Loitz
- 33 Palma Ave
- La Selva Beach, CA
- Zip : 95076-1729
- Fax : (833) 233-3943
- Phone : (831) 566-1112
Second Address
- Dr. Greg A Loitz
- 33 Palma Ave
- La Selva Beach, CA
- Zip : 95076-1729
- Fax : (833) 233-3943
- Phone : (831) 566-1112
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | G52694 | CA |
National Provider Identifier
| NPI | 1194803247 |
|---|---|
| Provider Name | Dr. Greg A Loitz |
| First Address | La Selva Beach, CA 95076-1729 |
| Second Address | La Selva Beach, CA 95076-1729 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/11/2006 |
| Last Update Date | 27/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G52694 | MEDICAL BOARD OF CALIF (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.