Dr. Jack Green
M.D. | Pediatrics | Male
Dr. Jack Green, M.D. is a West Hollywood, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Jack Green is
8700 Beverly Blvd, West Hollywood, California - 90048-1804. He can be contacted on phone at
310-423-8080.
Dr. Jack Green is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Jack Green is
1598010399 which was assigned by NPPES on 17 Jul, 2012 and it was last updated on 20 Sep, 2019.
Dr. Jack Green license number is
A136598 for Pediatrics (208000000X) in California.
Dr. Jack Green is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Jack Green basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Jack Green |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Jack Green address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 8700 Beverly Blvd
West Hollywood, CA, 90048-1804
United States |
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| Phone Number : | 310-423-8080 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1598010399 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Jul, 2012 |
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| Last Updated On : | 20 Sep, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jack Green are as mentioned. Primary taxonomy code for Dr. Jack Green, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | A136598 | CA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 8700 Beverly Blvd # Nt4255b
West Hollywood, CA, 90048-1804
United States |
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| Phone Number : | 310-423-8080 |
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Business Location:
Patients can refer following map for directions to
Dr. Jack Green practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.