Provider Demographics
NPI:1861411951
Name:LOCKE, GEORGE E (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:E
Last Name:LOCKE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:18811 HUNTINGTON ST
Mailing Address - Street 2:#130
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-6002
Mailing Address - Country:US
Mailing Address - Phone:714-435-1111
Mailing Address - Fax:562-860-0040
Practice Address - Street 1:18811 HUNTINGTON ST
Practice Address - Street 2:#130
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-6002
Practice Address - Country:US
Practice Address - Phone:714-435-1111
Practice Address - Fax:562-860-0040
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2025-06-08
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Provider Licenses
StateLicense IDTaxonomies
CAA30021207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA84033Medicare UPIN