Organization
RICHARD M. GREEN, M.D., F.A.C.C. A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA L. WILLIAMS (BUSINESS MANAGER)
(805) 494-9494
Entity
Organization
Contact information
Practice address
2220 LYNN RD, SUITE 208, THOUSAND OAKS, CA 91360-1904
(805) 494-9494
(805) 374-9994
Mailing address
2220 LYNN RD, SUITE 201, THOUSAND OAKS, CA 91360-1904
(805) 494-9494
(805) 374-9994
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G30476
CA
Other
Enumeration date
08/31/2006
Last updated
05/23/2008
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