GREEN CROSS MED NET INC NPI 1851609176

NPI Information

GREEN CROSS MED NET INC is a general practice in Los Angeles, CA. GREEN CROSS MED NET INC NPI is 1851609176. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Green Cross Medical Clinic.

The provider's business location address is:

5832 S VERMONT AVE
LOS ANGELES, CA
ZIP 90044-712
Phone: (323) 750-7354
Fax: (323) 750-7446

The provider's authorized official is Nabil Khalil .
The authorized official title is Medical Director and has the following contact phone number (323) 750-7354.

The CLIA number assigned to this NPI record is 05D0954506 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2010 and was last updated on 9/21/2010.

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:

Other Identifiers

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