Green, Germaine V.

Green, Germaine V. is an individual health care provider with primary practice located at 1500 South Central Avenue #100 , Glendale CA 91204. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Green, Germaine V. can be contacted via phone (818) 367-7980.

Contact Information

Primary practice address
1500 South Central Avenue #100 Glendale CA 91204
Phone: (818) 367-7980
Fax: (818) 637-7985
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G54334 California

Profile Details

NPI number 1104889344
LBN Legal business name Green, Germaine V.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Mar 20th, 2014 - about 12 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 1104889344 NPPES
California MEDICAID 00G543340

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