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Individual

MICHAEL STEPHEN GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2361 E VINEYARD AVE, OXNARD, CA 93036-2102
(805) 981-3770
(805) 981-3767
Mailing address
5855 OLIVAS PARK DR, VENTURA, CA 93003-7672
(805) 667-2801
(805) 667-2865

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G80363
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050394
BLUE CROSS
CA
01
95-1683892
OTHER INSURANCE
CA
05
RHM08608F
CA
05
RHM08609F
CA
05
RHM18553H
CA
05
ZZT40394F
CA
Enumeration date
05/30/2006
Last updated
10/06/2011
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