Individual
DR. JUSTIN MICHAEL GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 265, LOS ANGELES, CA 90095-8344
(310) 825-0867
(310) 794-5066
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
20A14267
CA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
20A14267
CA
2080P0203X
Pediatric Critical Care Medicine Physician
DO2907
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/13/2014
Last updated
01/31/2023
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