Organization
ARNOLD GREENBERG MD INC
Active
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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