Provider Demographics
NPI:1629125745
Name:SPERBER, GREGORY (BMBS, DAOM, LAC)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:
Last Name:SPERBER
Suffix:
Gender:M
Credentials:BMBS, DAOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2084 RENSHAW CT
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-1026
Mailing Address - Country:US
Mailing Address - Phone:619-881-0029
Mailing Address - Fax:619-881-0029
Practice Address - Street 1:5030 CAMINO DE LA SIESTA STE 208
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3118
Practice Address - Country:US
Practice Address - Phone:619-881-0029
Practice Address - Fax:619-881-0029
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC9297171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist