| Michael Mccutcheon Green, DO | |
|
2720 N Harbor Blvd, 130, Fullerton, CA 92835-2609 | |
| (714) 449-6200 | |
| (714) 449-6283 |
| Full Name | Michael Mccutcheon Green |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2720 N Harbor Blvd, Fullerton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902944788 | NPI | - | NPPES |
| 20A4975 | Other | CA | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A4975 (California) | Primary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 20A4975 (California) | Secondary |
| Entity Name | Pih Health Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609233899 PECOS PAC ID: 8426951328 Enrollment ID: O20040128001177 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Mccutcheon Green, DO 2720 N Harbor Blvd, 130, Fullerton, CA 92835-2609 Ph: (714) 449-6200 | Michael Mccutcheon Green, DO 2720 N Harbor Blvd, 130, Fullerton, CA 92835-2609 Ph: (714) 449-6200 |
Ynolde Faustina Smith, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2151 N Harbor Blvd, Suite 3200, Fullerton, CA 92835 Phone: 714-446-5101 Fax: 714-871-3006 | |
Milie Marie Tolentino, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 731 S Highland Ave, Fullerton, CA 92832 Phone: 714-446-5100 Fax: 714-449-1743 | |
Dr. Wonbae Choe, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 720 N Harbor Blvd, Fullerton, CA 92832 Phone: 714-782-7700 Fax: 714-982-3979 | |
Marisse Herrera, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1440 N Harbor Blvd Ste 110, Fullerton, CA 92835 Phone: 657-212-3212 | |
Anthony-tu Do, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 731 S Highland Ave, Fullerton, CA 92832 Phone: 714-446-5100 | |
Christopher Aou, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1835 Sunny Crest Dr, Fullerton, CA 92835 Phone: 714-446-5101 | |
Dr. Anne Amer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1006 E Bastanchury Rd, Fullerton, CA 92835 Phone: 714-255-1790 Fax: 714-255-1733 |