Greenberg, Stephen

Greenberg, Stephen is an individual health care provider with primary practice located at 5925 San Vicente Blvd , Los Angeles CA 90019-6630. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Greenberg, Stephen can be contacted via phone (323) 932-5301.

Contact Information

Primary practice address
5925 San Vicente Blvd Los Angeles CA 90019-6630
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G45339 California

Profile Details

NPI number 1184682387
LBN Legal business name Greenberg, Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Nov 5th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184682387 NPPES
California MEDICAID 00G453390

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