C. Gregory Jellinek, M.d., a Medical Corporation

NPI #1316269095 in Truckee, California

Provider Information

NPI Number: 1316269095
Entity Type: Organization
Organization Name: C. Gregory Jellinek, M.d., a Medical Corporation
Primary Specialty: Plastic Surgery
Enumeration Date: Feb 22, 2010
Last Updated: Feb 22, 2010

Practice Location

Address: 11209 BROCKWAY RD
Address 2: SUIT 201
City: Truckee
State: California
ZIP Code: 96161-2221
Phone: (530) 587-8600

Authorized Official

Name: DR. CHARLES GREGORY JELLINEK, M.D.
Title: PRESIDENT
Phone: (530) 587-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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