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Organization
DOCRD L.L.C.
Active
Organization
DOCRD L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL TODD GREENE ED.D., M.S., R.D.N. (OWNER CEO)
(213) 700-2661
Entity
Organization
Contact information
Practice address
1850 IVAR AVE, LOS ANGELES, CA 90028-5008
(213) 700-2661
Mailing address
PO BOX 1138, LOS ANGELES, CA 90078-1138
(213) 700-2661
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
NULL
251E00000X
Home Health Agency
—
NULL
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
332U00000X
Home Delivered Meals
—
NULL
347C00000X
Private Vehicle
—
NULL
Other
Enumeration date
09/26/2018
Last updated
01/03/2021
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