Basic Information
Provider Information
NPI: 1700187291
EntityType: 2
ReplacementNPI:  
OrganizationName: GREGORY J JOY MD ACUTE CARE SERVICES INC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 26131 MARGUERITE PKWY
Address2: SUITE A
City: MISSION VIEJO
State: CA
PostalCode: 926923161
CountryCode: US
TelephoneNumber: 9495828584
FaxNumber: 9495822943
Practice Location
Address1: 26922 OSO PKWY
Address2: SUITE 380
City: MISSION VIEJO
State: CA
PostalCode: 926915800
CountryCode: US
TelephoneNumber: 9495825430
FaxNumber: 9495822943
Other Information
ProviderEnumerationDate: 11/15/2010
LastUpdateDate: 01/20/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: REIMER
AuthorizedOfficialFirstName: DAWN
AuthorizedOfficialMiddleName: ALANE
AuthorizedOfficialTitleorPosition: CREDENTIALING
AuthorizedOfficialTelephone: 9492940692
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XG25323CAN193400000X MULTIPLE SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansEmergency Medicine 
207R00000XG25323CAY193400000X MULTIPLE SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


Home