Healthcare Provider Details

I. General information

NPI: 1508776782
Provider Name (Legal Business Name): GREGORY MARTIN SAVITT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24167 PASEO DE VALENCIA
LAGUNA WOODS CA
92637-3110
US

IV. Provider business mailing address

16 OAKBROOK
TRABUCO CANYON CA
92679-4722
US

V. Phone/Fax

Practice location:
  • Phone: 949-586-3503
  • Fax:
Mailing address:
  • Phone: 847-217-0768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH92594
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: