Individual
DR. BRUCE GREENBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 CANAL ST, KING CITY, CA 93930-3432
(831) 385-7169
(831) 385-5940
Mailing address
210 CANAL ST, KING CITY, CA 93930-3432
(831) 385-7169
(831) 385-5940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G32040
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G320401
—
CA
Enumeration date
12/16/2005
Last updated
07/08/2007
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