GREEN VALLEY LASER, LLC (NPI# 1669551271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669551271 |
| Entity Type | Organization |
| Organization Name | GREEN VALLEY LASER, LLC |
| Practice Address |
160 Green Valley Rd Suite 201 Freedom CA 95019-3160 |
| Practice Telephone | 8317222445 |
| Practice Fax Number | 8317226032 |
| Mailing Telephone | 8317222445 |
| Mailing Fax Number | 8317226032 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAVID S. BENJAMIN (DIRECTOR) |
| Authorized Official Telephone | 8317222445 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
G75256 MED DIREC | CA | Suppliers |
| Street Address |
160 GREEN VALLEY RD SUITE 201 |
| City | FREEDOM |
| State | CA |
| Zip Code | 95019-3160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790799047 | Watsonville Surgeons Group LLC | Clinic/Center | 160 Green Valley Rd, Suite 101, Freedom, CA 95019-3160 | 2006-07-29 |
| 1154969806 | Stacey C Hanlon Md PC | Anesthesiology | 160 Green Valley Rd, Freedom, CA 95019-3160 | 2019-12-12 |
| 1871849984 | Anne Morganti Kato | Ophthalmology | 160 Green Valley Rd, #202, Freedom, CA 95019-3160 | 2012-07-26 |
| 1033342829 | John V. Crowder Jr M.d. Inc. | Ophthalmology | 160 Green Valley Rd, Suite202, Freedom, CA 95019-3160 | 2009-08-27 |
| 1013150085 | William C Kadell | Optometrist | 160 Green Valley Rd, Suite 202, Freedom, CA 95019-3160 | 2009-04-07 |
| 1104095058 | Conrad Hamako, M.d. Inc. | Ophthalmology | 160 Green Valley Rd, Suite 202, Freedom, CA 95019-3160 | 2008-02-25 |
| 1841469798 | John V Crowder Jr Md Inc | Ophthalmology | 160 Green Valley Rd, Suite 202, Freedom, CA 95019-3160 | 2008-02-25 |
| 1558565416 | Thomas M Leverone M D Inc | Anesthesiology | 160 Green Valley Rd, Freedom, CA 95019-3160 | 2007-06-13 |
| 1831391937 | Douglas A Liddicoat Inc | Ophthalmology | 160 Green Valley Rd, Suite 202, Freedom, CA 95019-3160 | 2007-06-01 |
| 1164560066 | Coastal Eye Associates, A Medical Corporation | Ophthalmology | 160 Green Valley Rd, Suite 202, Freedom, CA 95019-3160 | 2007-02-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757428 | J. B. Physical Therapy, Inc. | Physical Therapist | 212 Green Valley Road, Freedom, CA 95019 | 2018-07-24 |
| 1639514441 | Isamar Baeza | Counselor | 2716 Freedom Blvd., Freedom, CA 95019 | 2013-05-07 |
| 1174891386 | Lisa Patrice Hamil | Pharmacist | 1810 Freedom Blvd., Freedom, CA 95019 | 2011-12-02 |
| 1346363710 | Chad Truong | Dentist | 2016 Freedom Boulevard, Freedom, CA 95019 | 2007-04-09 |
| 1962539585 | Frederick Wen Kang Chen | Internal Medicine | 243 Green Valley Rd Suite #e, Freedom, CA 95019 | 2007-02-28 |
| 1538277819 | Jacqueline Morris-lopez | Physician Assistant | 108 Green Valley Rd, Freedom, CA 95019 | 2006-08-28 |
| 1912979725 | Angela Molina | Anesthesiology | 160 Green Valley Rd Ste 101, Freedom, CA 95019 | 2006-02-06 |
| 1194704973 | David A South Md & Kim M Albridge Md A Medical Corporation | Dermatology | 204 Green Valley Road, Freedom, CA 95019 | 2006-01-11 |
| 1699232108 | Kayhan Mashouf Dmd Inc | Dentist | 270 Green Valley Rd, Freedom, CA 95019 | 2019-02-21 |
| 1194215434 | Hai Phu Duong | Pharmacist | 1810 Freedom Blvd, Freedom, CA 95019 | 2018-05-11 |
| Find all providers in zip 95019 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.