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Organization
RICHARD HOWARD GREENGOLD, M.D., INC.
Active
Organization
RICHARD HOWARD GREENGOLD, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD HOWARD GREENGOLD M.D. (PRESIDENT)
(949) 770-2080
Entity
Organization
Contact information
Practice address
24953 PASEO DE VALENCIA STE 15B, LAGUNA HILLS, CA 92653-4339
(949) 770-2080
(949) 770-6492
Mailing address
24953 PASEO DE VALENCIA STE 15B, LAGUNA HILLS, CA 92653-4339
(949) 770-2080
(949) 770-6492
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G37860
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G37860
MEDICAL LICENSE
CA
Enumeration date
10/09/2006
Last updated
08/22/2020
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