Organization
ARNOLD GREENBERG MD INC
Active
Other names
Manzanita Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LARISA KRAVCHUK (MANAGER)
(916) 979-0621
Entity
Organization
Contact information
Practice address
5810 JAMESON CT, STE 1, CARMICHAEL, CA 95608
(916) 979-0621
(916) 979-1110
Mailing address
5810 JAMESON CT, CARMICHAEL, CA 95608-0881
(916) 979-0621
(916) 979-1110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0080910
—
CA
Enumeration date
09/28/2006
Last updated
04/30/2020
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