Organization
CHONA BADAR GREEN M D A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHONA BADAR GREEN M.D. (PRESIDENT)
(949) 586-4113
Entity
Organization
Contact information
Practice address
23121 PLAZA POINTE DR STE 150, LAGUNA HILLS, CA 92653-1468
(949) 586-4113
(949) 837-5002
Mailing address
23121 PLAZA POINTE DR STE 150, LAGUNA HILLS, CA 92653-1468
(949) 586-4113
(949) 837-5002
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
A53508
CA
Other
Enumeration date
05/02/2012
Last updated
02/09/2024
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