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Brayden Green

Registered Nurse, Addiction (Substance Use Disorder) in Los Angeles, CA. Individual provider (NPI-1).

NPI number1104747567
StatusActive
Last updated in NPPESJul 22, 2026

Details

NPI
1104747567
Entity type
Individual (NPI-1)
Name
Brayden Green
Sex
Male
Sole proprietor
No
Enumeration date
Jul 22, 2026
Certification date
Jul 22, 2026
Last updated
Jul 22, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)95461343CAYes

Practice location

3619 N Mission Rd
Los Angeles, CA 90031-3136

Phone 818-985-8323

Mailing address

3619 N Mission Rd
Los Angeles, CA 90031-3136

Phone 818-985-8323

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Addiction (Substance Use Disorder) Registered Nurse providers in Los Angeles, CA

All 12 Addiction (Substance Use Disorder) Registered Nurse providers in Los Angeles · All 84,021 providers in Los Angeles

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