Holly Green in Los Angeles - Physician Assistant
Holly Green - NPI 1710072251
Holly Green is a Physician Assistant in Los Angeles, California. Holly Green practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Holly Green is 1710072251. The last update date is 2015-01-27.
Holly Green's current location address is 3701 Wilshire Blvd, Los Angeles, California. You can contact this provider via phone number 3233612331 and fax number 3233618491. The mailing address for Holly Green is 3701 Wilshire Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly Green |
|---|---|
| Address | 3701 Wilshire Blvd, Los Angeles, California |
| Phone Number | 3233612331 |
| Fax Number | 3233618491 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1710072251 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2015-01-27 |
Provider Mailing Address Detail
| Address | 3701 Wilshire Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900102804 |
| Phone Number | 3233612331 |
| Fax Number | 3233618491 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA00251 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8N4760 | TX | BLUE CROSS BLUE SHIELD | |
| 180775202 | TX | -- |
Post Comment/ Review Below
What is the Holly Green's unique identification number?
The Holly Green has been assigned the NPI (National Provider Identifier) Number 1710072251 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Holly Green is physically located?
The Holly Green is situated at the following address: 3701 Wilshire Blvd, Los Angeles, CA 900102804.
What is the area of specialization for Holly Green, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Holly Green is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When did the Holly Green receive its 1710072251?
The Holly Green was issued its 1710072251 on 2006-10-03, which is the date when the organization was assigned this unique identifier.
When was the information related to Holly Green most recently updated or refreshed?
The details pertaining to the Holly Green, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-01-27.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA