SearchCalifornia1041C0700X

John Green, L.C.S.W

NPI 1326120478 · on the registry since 2006 · sole proprietor

Practice

Address
7738 W 80th St
Playa Del Rey, CA 90293
Phone
(310) 822-2782
Fax
(310) 533-8019

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California