# GREATER GOOD HEALTH PC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750217873
- **Authorized official:** NATALIE PERAZA (OPS MANAGER)
- **Authorized official phone:** (626) 232-3929

## Contact information

- **Practice address:** 3017 EAGLE DR, AMMON, ID 83406-1273
- **Practice address phone:** (208) 607-3717
- **Mailing address:** 300 CONTINENTAL BLVD STE 560, EL SEGUNDO, CA 90245-5030
- **Mailing address phone:** (626) 232-3929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/18/2026
- **Last updated:** 06/18/2026
