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Organization
WALTER S GREEN, M.D. MEDICAL CORPORATION
Active
Organization
WALTER S GREEN, M.D. MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER S GREEN M.D. (MEDICAL DOCTOR)
(949) 452-3841
Entity
Organization
Contact information
Practice address
24411 HEALTH CENTER DR STE 520, LAGUNA HILLS, CA 92653-3633
(949) 452-3841
Mailing address
24411 HEALTH CENTER DR STE 520, LAGUNA HILLS, CA 92653-3633
(949) 452-3841
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A09766
CA
Other
Enumeration date
06/07/2007
Last updated
08/22/2020
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