Individual
STEPHEN GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5925 SAN VICENTE BLVD, LOS ANGELES, CA 90019-6630
(323) 932-5301
Mailing address
PO BOX 190, SIMI VALLEY, CA 93062-0190
(805) 522-5940
(805) 522-6401
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G45339
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G453390
—
CA
Enumeration date
05/04/2006
Last updated
11/05/2008
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