Green, Douglas Allen

Green, Douglas Allen is an individual health care provider with primary practice located at 31700 Temecula Pkwy , Temecula CA 92592-5896. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Green, Douglas Allen can be contacted via phone (951) 600-3811.

Contact Information

Primary practice address
31700 Temecula Pkwy Temecula CA 92592-5896
Phone: (951) 600-3811
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X A100113 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MC-207 Guam
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 16698C Wyoming
Allopathic & Osteopathic Physicians / General Practice 208D00000X A100113 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A100113 California

Profile Details

NPI number 1164635173
LBN Legal business name Green, Douglas Allen
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Jul 17th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164635173 NPPES
California MEDICAID 1164635173
California Other 00A1001130

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