Search › California › 101YA0400X
Otis Greene, SUBSTANCE USE DISORD
NPI 1740893361 · on the registry since 2020
Practice
- Address
- 39407 Vista Del Sol
Rancho Mirage, CA 92270 - Phone
- (877) 502-3218
- Organisation at this address
- Hazelden Betty Ford Foundation
Hazelden Betty Ford FoundationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Additional practice sites
- 10700 Santa Monica Blvd Ste 310, Los Angeles, CA
- 11720 El Camino Real Ste 200, San Diego, CA
- 506 W Graham Ave Ste 106, Lake Elsinore, CA
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 172V00000X
- Sex
- Male
- Record last updated
- 2025-03-03
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