| Ra Greenberg Medical Corp. | |
|
1831 Wilshire Blvd #201 Santa Monica CA 90403-5777 | |
| (310) 829-0636 | |
| (310) 453-1791 |
| Full Name | Ra Greenberg Medical Corp. |
|---|---|
| Speciality | Counselor |
| Location | 1831 Wilshire Blvd, Santa Monica, California |
| Authorized Official Name and Position | Richard Alan Greenberg (PRESIDENT) |
| Authorized Official Contact | 3108290636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ra Greenberg Medical Corp. 1831 Wilshire Blvd #201 Santa Monica CA 90403-5777 Ph: (310) 829-0636 | Ra Greenberg Medical Corp. 1831 Wilshire Blvd #201 Santa Monica CA 90403-5777 Ph: (310) 829-0636 |
| NPI Number | 1558450379 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 02/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558450379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | C-18884 (California) | Primary |
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