Green, Edward

Green, Edward is an individual health care provider with primary practice located at 1040 Elm Ave Suite 100, Long Beach CA 90813-3264. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Green, Edward can be contacted via phone (562) 591-4444.

Contact Information

Primary practice address
1040 Elm Ave Suite 100 Long Beach CA 90813-3264
Phone: (562) 591-4444
Fax: (562) 436-7350
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A71869 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A71869 California

Profile Details

NPI number 1467554220
LBN Legal business name Green, Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Jan 12th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467554220 NPPES
California Other A71869 CA LICENSE
California MEDICAID 00A718690 CA LICENSE

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