Organization
ABE GREEN MD A PROF MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABE GREEN MD (PRESIDENT OWNER)
(310) 282-8202
Entity
Organization
Contact information
Practice address
2080 CENTURY PARK EAST, SUITE 1410, LOS ANGELES, CA 90067
(310) 282-8202
(310) 553-9103
Mailing address
2080 CENTURY PARK EAST, SUITE 1410, LOS ANGELES, CA 90067
(310) 282-8202
(310) 553-9103
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G48234
CA
207RN0300X
Nephrology Physician
Primary
G48234
CA
Other
Enumeration date
10/16/2006
Last updated
08/17/2007
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