Greendale, Gail Alice
Greendale, Gail Alice is an individual health care provider with primary practice located at 200 Medical Plaza #365,530,420,120, Los Angeles CA 90095-3075. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Greendale, Gail Alice can be contacted via phone (310) 794-9718.Contact Information
Primary practice address
200 Medical Plaza #365,530,420,120
Los Angeles CA 90095-3075
Phone: (310) 794-9718
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | G66482 | California |
Profile Details
| NPI number | 1750309381 |
|---|---|
| LBN Legal business name | Greendale, Gail Alice |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Feb 11th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750309381 | NPPES |
| California | MEDICAID | 00G664820 |
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