Green, Amanda Beth

Green, Amanda Beth is an sole proprietor health care provider with primary practice located at 13652 Cantara St Mob 6, Panorama City CA 91402-5423. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Green, Amanda Beth can be contacted via phone (818) 350-6223.

Contact Information

Primary practice address
13652 Cantara St Mob 6 Panorama City CA 91402-5423
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A136605 California

Profile Details

NPI number 1457618977
LBN Legal business name Green, Amanda Beth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2012
Last updated Nov 29th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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