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General NPI Number Information
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NPI Number | 1235192063
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Entity Type | Individual
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Provider Name | E GREGORY CEHAN MD
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Gender | Male
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 01/24/2017
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Provider Practice Location Address
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Address Line | 615 COUNTRY RD
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City | MEADOW VISTA
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State | CA
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Zip | 95722-9502
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Country | US
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Telephone | 530-878-0170
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Fax | 530-878-9925
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Provider Business Mailing Address
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Address Line | 615 COUNTRY RD
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City | MEADOW VISTA
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State | CA
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Zip | 95722-9502
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Country | US
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Telephone | 530-878-0170
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Fax | 530-878-9925
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | C037091
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License Number State | CA
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