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Dennis M Green, M.D.

Family Medicine in Los Angeles, CA. Individual provider (NPI-1).

NPI number1285735530
StatusActive
Last updated in NPPESJun 24, 2009

Details

NPI
1285735530
Entity type
Individual (NPI-1)
Name
Dennis M Green
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 26, 2006
Last updated
Jun 24, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineG55353CAYes

Practice location

1950 Sawtelle Blvd
Los Angeles, CA 90025-7014

Phone 310-996-9355 · Fax 310-312-4913

Mailing address

23388 Mulholland Dr
Mailstop 62
Woodland Hills, CA 91364-2733

Phone 310-996-9355 · Fax 310-312-4913

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