Organization
LINDEN PHYSICIANS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORRIE GREATHOUSE (EXECUTIVE DIRECTOR)
(310) 288-1718
Entity
Organization
Contact information
Practice address
9730 WILSHIRE BLVD, SUITE 109, BEVERLY HILLS, CA 90212-2022
(310) 288-1718
(424) 201-5696
Mailing address
9663 SANTA MONICA BLVD, #1203, BEVERLY HILLS, CA 90210-4303
(310) 288-1718
(424) 201-5696
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
32070
CA
2084P0802X
Addiction Psychiatry Physician
32070
CA
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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