Individual
SARAH B GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
4650 W SUNSET BLVD, MAIL STOP 54, LOS ANGELES, CA 90027-6062
(323) 361-8880
Mailing address
4650 W SUNSET BLVD, MAIL STOP 54, LOS ANGELES, CA 90027-6062
(323) 361-8880
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95002619
CA
363LP0200X
Pediatric Nurse Practitioner
NP200006734
DC
Other
Enumeration date
10/30/2012
Last updated
07/01/2022
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