Organization
GREEN MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIEM LE RN (CORPORATE SECRETARY)
(714) 655-8298
Entity
Organization
Contact information
Practice address
995 W FOOTHILL BLVD, CLAREMONT, CA 91711-3304
(714) 655-8298
(808) 855-3055
Mailing address
995 W FOOTHILL BLVD, CLAREMONT, CA 91711-3304
(714) 655-8298
(808) 855-3055
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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