Dr Jonathan Carl Green, MD - Internal Medicine in Los Angeles, CA

Dr Jonathan Carl Green, MD is a Internal Medicine physician based in Los Angeles, California. Dr Jonathan Carl Green is licensed to practice in California (license number G 34530) and his current practice location is 637 Lucas Ave, Ste 205, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at (866) 586-7667.

NPI number for Dr Jonathan Carl Green is 1548465727 and his current mailing address is 9625 Mission Gorge Rd, Ste B2, Pmb 342, Santee, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548465727.

Contact Information

Dr Jonathan Carl Green, MD
637 Lucas Ave, Ste 205,
Los Angeles, CA 90017-1912
(866) 586-7667
(619) 562-0452

Map and Direction




Physician's Profile

Full NameDr Jonathan Carl Green
GenderMale
SpecialityInternal Medicine
Location637 Lucas Ave, Los Angeles, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1548465727
  • Provider Enumeration Date: 06/18/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Jonathan Carl Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548465727NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine G 34530 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jonathan Carl Green is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jonathan Carl Green, MD
9625 Mission Gorge Rd, Ste B2, Pmb 342,
Santee, CA 92071-3804

Ph: (866) 586-7667
Dr Jonathan Carl Green, MD
637 Lucas Ave, Ste 205,
Los Angeles, CA 90017-1912

Ph: (866) 586-7667

Reviews and Comments


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