Individual
DANA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
7450 LEEDS ST, DOWNEY, CA 90242-3379
(562) 385-8143
Mailing address
3131 E CORTO PL, LONG BEACH, CA 90803-5820
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO05270
CA
224P00000X
Prosthetist
Primary
CPO05270
CA
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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