JACK GREEN

WEST HOLLYWOOD, CA
NPI1598010399
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: CA  A136598)
Enumeration Date2012-07-17
Last Update Date2019-09-20
Business Address
Dr. JACK GREEN M.D.
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048-1804
Phone number: 310-423-8080
Mailing Address
Dr. JACK GREEN M.D.
8700 BEVERLY BLVD # NT4255B
WEST HOLLYWOOD, CA 90048-1804
Phone number: 310-423-8080
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