Green, Justin Taylor

Green, Justin Taylor is an sole proprietor health care provider with primary practice located at 1760 Termino Ave Ste 208 , Long Beach CA 90804-2151. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Green, Justin Taylor can be contacted via phone (562) 961-5655.

Contact Information

Primary practice address
1760 Termino Ave Ste 208 Long Beach CA 90804-2151
Phone: (562) 961-5655
Fax: (562) 961-8819
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1093312142
LBN Legal business name Green, Justin Taylor
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2020
Last updated Oct 1st, 2020 - about 4 years 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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