Search › California › 111NX0800X
Gregg Mallett, DC, ATC, CKTP
NPI 1902939648 · on the registry since 2007 · sole proprietor
Practice
- Address
- 22661 Lambert St
Suite 207
Lake Forest, CA 92630 - Phone
- (949) 916-9742
- Fax
- (949) 716-2694
- Organisation at this address
- Ad Borcea Incorporated
Lake Forest Pharmacy LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 111NX0800X
111NX0800X
- Also registered as
- 111N00000X
- Licence states on file
- MA, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-03-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California