Individual
ABE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2080 CENTURY PARK E, SUITE #1410, LOS ANGELES, CA 90067-2001
(310) 282-8202
(310) 553-9103
Mailing address
2080 CENTURY PARK E STE 1410, LOS ANGELES, CA 90067-2017
(310) 282-8202
(310) 553-9103
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G48234
CA
207RN0300X
Nephrology Physician
Primary
G48234
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G482340
—
CA
Enumeration date
08/17/2007
Last updated
11/05/2025
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