Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GREGG S MALLETT, DC, ATC, CKTP
Active Sole ProprietorDR. GREGG S MALLETT, DC, ATC, CKTP is a Orthopedic (Chiropractor) healthcare provider located in LAKE FOREST, California. NPI 1902939648 is currently active in the NPPES registry. Verify at CMS.
Orthopedic (Chiropractor) · LAKE FOREST, CA
Registration Details
- NPI Number
- 1902939648
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 13, 2007 (19.44765136025 yrs)
- Last Updated
- Mar 1, 2013
- Licenses
-
2812 (MA)30918 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
22661 LAMBERT STSUITE 207LAKE FOREST, CA, 926301612Browse CA providers · Browse ZIP 92630
- Phone
- 9499169742
- Fax
- 9497162694
- Primary Specialty
-
Orthopedic (Chiropractor)
111NX0800X
- Additional Specialty
- Orthopedic (Chiropractor)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.