MEDICARE: GREGORY MICHAEL RIGALI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	ASW128513	CA

General Provider Information

NPI Number	:	1184317893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREGORY MICHAEL RIGALI

Provider Business Mailing Address
First Line	:	4744 TELEPHONE RD # 3233
Second Line	:
City	:	VENTURA
State	:	CA
Zip	:	93003-5244
Country	:	US
Telephone Number	:	805-701-7145
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 S BARRINGTON AVE STE 204
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-5385
Country	:	US
Telephone Number	:	310-902-0990
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2023
Last Update Date	:	03/03/2026

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