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RA GREENBERG MEDICAL CORP. NPI 1558450379


NPI Information

NPI: 1558450379
Provider Name: RA GREENBERG MEDICAL CORP.
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
1831 WILSHIRE BLVD
#201
SANTA MONICA, CA
ZIP 90403
Phone: (310) 829-0636
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RA GREENBERG MEDICAL CORP. is a counselor in Santa Monica, CA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. RA GREENBERG MEDICAL CORP. NPI is 1558450379. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1831 WILSHIRE BLVD
#201
SANTA MONICA, CA
ZIP 90403-777
Phone: (310) 829-0636
Fax: (310) 453-1791

The provider's authorized official is Richard Alan Greenberg .
The authorized official title is President and has the following contact phone number (310) 829-0636.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 2/21/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorC-18884CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C-18884MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.