Organization
GREEN DERMATOLOGIC MEDICAL GROUP A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLLIN M GREEN M.D. (PRESIDENT)
(949) 452-3841
Entity
Organization
Contact information
Practice address
24411 HEALTH CENTER DR STE 520, LAGUNA HILLS, CA 92653-3633
(949) 452-3841
(949) 859-8937
Mailing address
24411 HEALTH CENTER DR STE 520, LAGUNA HILLS, CA 92653-3633
(949) 452-3841
(949) 859-8937
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
05/04/2018
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