Paul L Treger MD a Medical Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G26803 Issued in CA

Legal business name

PAUL L TREGER MD A MEDICAL CORPORATION

Practice address

7877 Parkway Dr
Ste 100
La Mesa, CA 91942-2000

Phone

(619) 460-9077

Fax

(619) 460-2184

NPI assigned

Jun 24, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul Leslie Treger, MD

Title

President

Phone

(619) 460-9077

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1366448243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7877 PARKWAY DR",
            "address_2": "STE 100",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919422000",
            "telephone_number": "619-460-9077",
            "fax_number": "619-460-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7877 PARKWAY DR",
            "address_2": "STE 100",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919422000",
            "telephone_number": "619-460-9077",
            "fax_number": "619-460-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL L TREGER MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "TREGER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-460-9077",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G26803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00GR68030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Payam Mehranpour, Inc.

• Ophthalmology Physician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.