Individual
LARRY H. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16055 VENTURA BLVD, #630, ENCINO, CA 91436-2601
(818) 990-0300
(818) 990-4854
Mailing address
16055 VENTURA BLVD, #630, ENCINO, CA 91436-2601
(818) 990-0300
(818) 990-4854
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G26942
CA
Other
Enumeration date
08/31/2006
Last updated
03/15/2013
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