Individual
GERMAINE V. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 SOUTH CENTRAL AVENUE #100, GLENDALE, CA 91204
(818) 367-7980
(818) 637-7985
Mailing address
1500 SOUTH CENTRAL AVENUE #100, GLENDALE, CA 91204
(818) 367-7980
(818) 637-7985
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G54334
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G543340
—
CA
Enumeration date
04/10/2006
Last updated
03/20/2014
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