Individual
DR. AKIBA EDO GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3201 S ST, 188, SACRAMENTO, CA 95816-7078
(806) 570-9679
(916) 476-9801
Mailing address
PO BOX 162031, SACRAMENTO, CA 95816-2031
(806) 570-9679
(916) 476-9801
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20A9667
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX96670
—
CA
Enumeration date
06/03/2007
Last updated
06/09/2015
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