Tracey Green

NPI 1629495718 · on the registry since 2014

Practice

Address: 5190 Atlantic Ave
Long Beach, CA 90805
Phone: (562) 428-4111
Fax: (562) 984-5610
Organisation at this address: Tarzana Treatment Center
Tarzana Treatment Centers
Tarzana Treatment Centers, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 134

Registry record

Primary taxonomy: 171M00000X
171M00000X
Also registered as: 171M00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-09-08

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