Gregory Dahlquist
Family Doctor - Hospice and Palliative Medicine
1770 N Orange Grove Ave Sutie 101
Pomona
, California 91767-3027
Gregory Dahlquist
Family Doctor - Hospice and Palliative Medicine
1770 N Orange Grove Ave Sutie 101
Pomona
, California 91767-3027
(909) 628-6087
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About
Features
Specialties
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Gregory Dahlquist
- 1770 N Orange Grove Ave Sutie 101
- Pomona, CA
- Zip : 91767-3027
- Fax : (909) 628-6087
- Phone : (909) 469-9494
Second Address
- Gregory Dahlquist
- 1770 N Orange Grove Ave Sutie 101
- Pomona, CA
- Zip : 91767-3027
- Fax : (909) 628-6087
- Phone : (909) 469-9494
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | G56074 | CA |
National Provider Identifier
| NPI | 1558362467 |
|---|---|
| Provider Name | Gregory Dahlquist |
| First Address | Pomona, CA 91767-3027 |
| Second Address | Pomona, CA 91767-3027 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2005 |
| Last Update Date | 12/01/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| BC0166505 | DEA # (01) | |
| E 82270 | (02) |
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.