Individual
DR. BILLIE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1101 FELSPAR ST, SAN DIEGO, CA 92109-2925
(858) 483-1720
Mailing address
1101 FELSPAR ST, SAN DIEGO, CA 92109-2925
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
07510R
LA
207R00000X
Internal Medicine Physician
Primary
A44412
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A444121
—
CA
Enumeration date
10/25/2005
Last updated
03/03/2020
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