Greenberg, Jody M

Greenberg, Jody M is an sole proprietor health care provider with primary practice located at 27262 Esgos , Mission Viejo CA 92692-3301. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Greenberg, Jody M can be contacted via phone (949) 624-1117.

Contact Information

Primary practice address
27262 Esgos Mission Viejo CA 92692-3301
Phone: (949) 624-1117
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E3149 California
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X E3149 California

Profile Details

NPI number 1689780793
LBN Legal business name Greenberg, Jody M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2006
Last updated Apr 20th, 2023 - about 3 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 1689780793 NPPES
California MEDICAID 000E31490
California Other 480027973
California Other 126213600

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