Dr. Gregg Robert Makovic
Podiatrist Foot Surgery Primary Podiatric Medicine
717 S Averill Ave
San Pedro
, California 90732-3813
Dr. Gregg Robert Makovic
Podiatrist Foot Surgery Primary Podiatric Medicine
717 S Averill Ave
San Pedro
, California 90732-3813
(310) 548-6298
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About
Features
Specialties
- Podiatrist
- Primary Podiatric Medicine
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Gregg Robert Makovic
- 717 S Averill Ave
- San Pedro, CA
- Zip : 90732-3813
- Phone : (310) 548-6298
Second Address
- Dr. Gregg Robert Makovic
- 717 S Averill Ave
- San Pedro, CA
- Zip : 90732-3813
- Phone : (310) 548-6298
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E2521 | CA |
| Y | 222Z00000X | Podiatrist | E2521 | CA |
| N | 213EP1101X | Primary Podiatric Medicine | E2521 | CA |
| N | 213ES0131X | Foot Surgery | E2521 | CA |
National Provider Identifier
| NPI | 1598836769 |
|---|---|
| Provider Name | Dr. Gregg Robert Makovic |
| First Address | San Pedro, CA 90732-3813 |
| Second Address | San Pedro, CA 90732-3813 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/11/2006 |
| Last Update Date | 27/03/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000E25210 | (05) | CA |
| T11370 | (02) | 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.