Greenstadt, Marc

Greenstadt, Marc is an sole proprietor health care provider with primary practice located at 18350 Roscoe Blvd Suite 300, Northridge CA 91325-4109. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Greenstadt, Marc can be contacted via phone (818) 717-3021.

Contact Information

Primary practice address
18350 Roscoe Blvd Suite 300 Northridge CA 91325-4109
Fax: (818) 717-3028
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G35141 California

Profile Details

NPI number 1861424418
LBN Legal business name Greenstadt, Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2006
Last updated Jul 9th, 2007 - about 17 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 1861424418 NPPES
California MEDICAID 00G351410

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