LYDIA MARIE GREEN (NPI# 1952336752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952336752 |
Entity Type | Individual |
Full Name | LYDIA MARIE GREEN |
Credential | M.D. |
Practice Address |
6033 W Century Blvd Ste 200 Los Angeles CA 90045-6440 |
Mailing Address |
2851 W 120th St Ste E-134 Hawthorne CA 90250-3395 |
Practice Telephone | 3236911772 |
Mailing Telephone | 3236911772 |
Enumeration Date | 2006-07-11 |
Last Update Date | 2018-09-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
A068297 | CA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942719893 | Lydia Green | Prosthetist | 3204 Scarborough Way, Virginia Beach, VA 23453-3055 | 2017-09-22 |
1497183552 | Lydia Green | Pharmacist | 1156 Ebener St, Redwood City, CA 94061-2203 | 2013-10-28 |
1154806651 | Lydia Isla Green | Behavior Technician | 3702 Ruffin Rd Ste 100, San Diego, CA 92123-1893 | 2018-10-01 |
1104337948 | Lydia Green | Speech-Language Pathologist | 409 E Washington St, Downs, IL 61736-9380 | 2017-10-19 |
Street Address |
6033 W CENTURY BLVD STE 200 |
City | LOS ANGELES |
State | CA |
Zip Code | 90045-6440 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952958225 | Norman Quach | Physical Therapist | 6033 W Century Blvd Ste 200, Los Angeles, CA 90045-6440 | 2019-08-21 |
1669937215 | Toni Anh Tu Lim | Physical Therapist | 6033 W Century Blvd Ste 200, Los Angeles, CA 90045-6440 | 2019-02-08 |
1932674504 | Matthew A Fisher | Physical Therapist | 6033 W Century Blvd Ste 200, Los Angeles, CA 90045-6440 | 2018-10-09 |
1811462625 | Gerardo J Aceves | Physical Therapist | 6033 W Century Blvd Ste 200, Los Angeles, CA 90045-6440 | 2018-10-08 |
1588187603 | Michelle Rakovsky | Occupational Therapist | 6033 W Century Blvd Ste 200, Los Angeles, CA 90045-6440 | 2017-07-20 |
1538538103 | Elisa Marian Santizo | Occupational Therapist | 6033 W Century Blvd Ste 200, Los Angeles, CA 90045-6440 | 2015-09-24 |
1730438433 | Michael Cuaresma | Physical Therapist | 6033 W Century Blvd Ste 200, Los Angeles, CA 90045-6440 | 2012-09-10 |
1891945192 | Conrad Chi | Physical Therapist | 6033 W Century Blvd Ste 200, Los Angeles, CA 90045-6440 | 2008-09-23 |
1205003027 | Shamel A. Hashish | Physical Medicine & Rehabilitation | 6033 W Century Blvd Ste 200, Concentra Urgent Care, Los Angeles, CA 90045-6440 | 2008-05-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396388849 | Laska Dental Inc | Dentist | 5602 W Manchester Ave, Los Angeles, CA 90045 | 2019-10-28 |
1245889179 | Ana Arias | Physical Therapist | 6801 Terrace Drive, Suite 200, Los Angeles, CA 90045 | 2019-09-04 |
1144719410 | Family Dental Care 4 You | Dentist | 5602 W. Manchester Ave, Los Angeles, CA 90045 | 2018-05-02 |
1821504002 | Rhonda Taylor | Counselor | 8703 La Tijera Blvd Ste 201, Los Angeles, CA 90045 | 2017-12-24 |
1114436839 | Blanca Melisa Gomez I | Case Manager/Care Coordinator | 7423 1/4 S Sepulveda Blvd, Los Angeles, CA 90045 | 2017-09-26 |
1639688831 | Kalila Magbanua-stein | Counselor | 8618 La Tijera Blvd., Suite 200, Los Angeles, CA 90045 | 2017-09-20 |
1568984185 | Angela Mull | Marriage & Family Therapist | 8616 Latijera Blvd, Suite 307, Los Angeles, CA 90045 | 2017-07-14 |
1386171585 | Patricia Ann Bridewell | Registered Nurse | 5245 Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2017-05-18 |
1679937627 | Thelese Consulting Group | Community/Behavioral Health | 8929 S. Sepulveda Blvd, Suite 400, Los Angeles, CA 90045 | 2016-04-06 |
1568823318 | Keith Romalis Ellison | Specialist/Technologist | One Lmu Drive, Gersten Pavilion - Athletic Training Room, Los Angeles, CA 90045 | 2016-03-08 |
Find all providers in zip 90045 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669092854 | Wellbeing Clinic Inc | Family Medicine | 1621 S New Hampshire Ave, Los Angeles, CA 90006-4513 | 2020-04-17 |
1265902928 | Shivangi Amin Md, Inc | Family Medicine | 701 N Alvarado St Fl 1, Los Angeles, CA 90026 | 2018-11-26 |
1952660599 | Lacy Little Knowles | Family Medicine | 6801 Park Ter Ste 130, Los Angeles, CA 90045 | 2012-05-15 |
1316219058 | Robert A Tracy | Family Medicine | 3056 Fletcher Dr, Los Angeles, CA 90065-2207 | 2012-01-26 |
1245525690 | Mahendra G Sanathra | Family Medicine | 2015 E. Florence Ave., Los Angeles, CA 90001-2754 | 2011-06-14 |
1811056500 | Mcgarrity D O Medical Corporation | Family Medicine | 3750 Santa Rosalia Dr, Suite 101, Los Angeles, CA 90008-3627 | 2006-12-08 |
1083626543 | Jeffrey Steven Harris | Family Medicine | 11560 W Pico Blvd, Los Angeles, CA 90064-1520 | 2006-08-13 |
1245273820 | Edwin H Choi | Family Medicine | 3663 W 6th St Ste 103, Los Angeles, CA 90020 | 2006-06-13 |
1346712866 | Simona Davoudpour Do A Professional Medical Corporation | Family Medicine | 5757 Wilshire Blvd., Promenade 2, Los Angeles, CA 90036 | 2018-12-21 |
1831671411 | Suh Hee Kim | Family Medicine | 3663 W 6th St Ste 103, Los Angeles, CA 90020-3047 | 2018-08-30 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90045 |
Please comment or provide details below to improve the information on LYDIA MARIE GREEN.
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.