Individual
DR. ALLEN H GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11860 WILSHIRE BLVD, #200, LOS ANGELES, CA 90025-6613
(310) 445-6600
(310) 445-6601
Mailing address
11860 WILSHIRE BLVD, #200, LOS ANGELES, CA 90025-6613
(310) 445-6600
(310) 445-6601
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
G63445
CA
207Q00000X
Family Medicine Physician
Primary
G063445
CA
261Q00000X
Clinic/Center
G63445
CA
Other
Enumeration date
03/29/2007
Last updated
03/07/2023
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