Makovic, Gregg Robert

Makovic, Gregg Robert is an sole proprietor health care provider with primary practice located at 717 S Averill Ave , San Pedro CA 90732-3813. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Makovic, Gregg Robert can be contacted via phone (310) 548-6298.

Contact Information

Primary practice address
717 S Averill Ave San Pedro CA 90732-3813
Phone: (310) 548-6298
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E2521 California
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X E2521 California
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X E2521 California

Profile Details

NPI number 1598836769
LBN Legal business name Makovic, Gregg Robert
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2006
Last updated Mar 27th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598836769 NPPES
California MEDICAID 000E25210

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