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Search › California › 390200000X

Justin Green

NPI 1093312142 · on the registry since 2020 · sole proprietor

Practice

Address
1760 Termino Ave Ste 208
Long Beach, CA 90804
Phone
(562) 961-5655
Fax
(562) 961-8819
Organisation at this address
Vortex Mental Health
Richard L Bell Dpm Inc
Dr Andrew Stanitsas Inc
Ron V. Roque, M.D., Inc.
Miller Children'S Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
43

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
246ZC0007X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California