Jacob Green

NPI 1508781683 · on the registry since 2026

Practice

Address: 2135 Westcliff Dr Ste 203
Newport Beach, CA 92660
Phone: (949) 299-0297
Organisation at this address: Yan Kalika Dental Corporation
Orange County Physical Therapy Ocpt, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-08-10

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