Provider Demographics
NPI:1982570396
Name:GRECO, AKI REI
Entity type:Individual
Prefix:
First Name:AKI
Middle Name:REI
Last Name:GRECO
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79767 BIRMINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92203-4515
Mailing Address - Country:US
Mailing Address - Phone:760-902-9920
Mailing Address - Fax:
Practice Address - Street 1:79767 BIRMINGHAM DR
Practice Address - Street 2:
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92203-4515
Practice Address - Country:US
Practice Address - Phone:760-902-9920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program