Justin Taylor Green is a student in an organized health care education training program in Long Beach, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Justin Taylor Green NPI is 1093312142. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1760 TERMINO AVE STE 208
LONG BEACH, CA
ZIP 90804-151
Phone: (562) 961-5655
Fax: (562) 961-8819
The enumeration date for this NPI number is 10/1/2020 and was last updated on 10/1/2020.