Healthcare Provider Details

I. General information

NPI: 1912138132
Provider Name (Legal Business Name): STEPHANIE CLAUDIA GREGER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2009
Last Update Date: 07/13/2023
Certification Date: 07/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3291 LOMA VISTA RD BLDG 340 STE 502
VENTURA CA
93003-3099
US

IV. Provider business mailing address

2323 KNOLL DR
VENTURA CA
93003-7307
US

V. Phone/Fax

Practice location:
  • Phone: 805-652-6222
  • Fax: 805-652-6221
Mailing address:
  • Phone: 805-677-5181
  • Fax: 805-677-6304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberA102891
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number245362
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: