Individual provider · Type 1 NPI

Gregg Alan Lichtenstein, MD

Adult Medicine Physician · San Diego, CA

NPI number 1598880577 Active

Practice location

5500 Campanile Dr, Student Health Services San Diego State University
San Diego, CA 92182-0001

Fax (619) 594-3638

Mailing address

Student Health Services, San Diego State University, 5500 Campanile Drive
San Diego, CA 92182-4701

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XG44467 (CA)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1598880577

Gregg Alan Lichtenstein, MD's National Provider Identifier is 1598880577, issued on Mar 20, 2007. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2007.