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Individual

JOANNA E GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-2262
(323) 660-8983
Mailing address
6430 W SUNSET BLVD, SUITE 600, LOS ANGELES, CA 90028-7901
(323) 361-2337
(323) 644-8488

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G56534
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G565340
CA
01
00G565340 F91
CAL OPTIMA
CA
Enumeration date
09/21/2006
Last updated
02/28/2008
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