Ivor Green MD a Professional Corporation
Ivor Green MD a Professional Corporation provides Anesthesiology Physician services in San Gabriel, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
438 W Las Tunas DrSan Gabriel, CA 91776-1216 Not confirmed with CMS for 18 years — call before visiting
Phone: (626) 289-5454
Fax: (626) 457-7172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anesthesiology Physician (primary) | Taxonomy 207L00000X (CA) |
|---|
Record details
| NPI number | 1023027794 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ivor Green — President · (818) 825-9423 |
| NPI enumerated | August 5, 2006 |
| Last updated in NPPES | February 25, 2008 |
| Mailing address | 225 S Lake Ave, 535, Pasadena, CA 91101-3005 |
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