Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 19394 | CA |
NPI | 1083790778 |
---|---|
Provider Name | Mr. Gregory K. Saito |
First Address | Irvine, CA 92604-4768 |
Second Address | Irvine, CA 92604-4768 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 24/06/2008 |