Healthcare Provider Details
I. General information
NPI: 1831595339
Provider Name (Legal Business Name): GREGORY WAYNE GEE NP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/10/2014
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
19191 S VERMONT AVE STE 200
TORRANCE CA
90502-1049
US
IV. Provider business mailing address
PO BOX 35380
LAS VEGAS NV
89133-5380
US
V. Phone/Fax
- Phone: 310-324-4223
- Fax:
- Phone: 702-579-3203
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LG0600X |
| Taxonomy | Gerontology Nurse Practitioner |
| License Number | 95001692 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: