Green, Marjorie

Green, Marjorie is an individual health care provider with primary practice located at 11600 Eldridge Ave , Lake View Terrace CA 91342-6506. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Green, Marjorie can be contacted via phone (818) 868-3000.

Contact Information

Primary practice address
11600 Eldridge Ave Lake View Terrace CA 91342-6506
Phone: (818) 868-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 15044 California

Profile Details

NPI number 1619604402
LBN Legal business name Green, Marjorie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2022
Last updated Nov 22nd, 2023 - about 2 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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