Individual provider · NPI-1

Dr. Rollin M Green, MD

Dermatology · Laguna Hills, CA

NPI number1245206705
StatusActive
Last updated in NPPESMar 11, 2024

Details

NPI
1245206705
Entity type
Individual (NPI-1)
Name
Dr. Rollin M Green
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 24, 2006
Certification date
Mar 11, 2024
Last updated
Mar 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X DermatologyG23339KYYes

Practice location

24012 Calle De La Plata Ste 200
Laguna Hills, CA 92653-7624

Phone 949-452-3841

Mailing address

24411 Health Center Dr Ste 520
Laguna Hills, CA 92653-3633

Phone 949-452-3841 · Fax 949-859-8937

Other practice locations

24411 Health Center Dr Ste 520
Laguna Hills, CA 92653-3633

Phone 949-452-3841 · Fax 949-859-8937

Is something wrong?

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 Dermatology providers in Laguna Hills, CA