Provider Demographics
NPI:1083790778
Name:SAITO, GREGORY K (PT)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:K
Last Name:SAITO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:4330 BARRANCA PKWY STE 240
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-4768
Mailing Address - Country:US
Mailing Address - Phone:949-857-6558
Mailing Address - Fax:949-857-8103
Practice Address - Street 1:4330 BARRANCA PKWY STE 240
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-4768
Practice Address - Country:US
Practice Address - Phone:949-857-6558
Practice Address - Fax:949-857-8103
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA193942251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic