| NPI | 1497442586 |
|---|---|
| Doing Business As | GREENWELL HEALTH |
| Entity Type | Organization |
| Authorized Contact | MICHAEL STONE Indirect Owner 310-955-0037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2026-06-08 |