Individual
DR. AMANDA BETH GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13652 CANTARA ST, MOB 6, PANORAMA CITY, CA 91402-5423
(818) 350-6223
Mailing address
13652 CANTARA ST, MOB 6, PANORAMA CITY, CA 91402-5423
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A136605
CA
Other
Enumeration date
04/20/2012
Last updated
11/29/2021
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