| Jillian Greene Psychologist A Professional Corporation | |
|
9300 Wilshire Blvd Ste 320 Beverly Hills CA 90212-3203 | |
| (323) 821-8194 | |
| Not Available |
| Full Name | Jillian Greene Psychologist A Professional Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 9300 Wilshire Blvd Ste 320, Beverly Hills, California |
| Authorized Official Name and Position | Jillian Greene (PRESIDENT) |
| Authorized Official Contact | 3238218194 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jillian Greene Psychologist A Professional Corporation 743 N Sycamore Ave Apt 4 Los Angeles CA 90038-3359 Ph: (323) 821-8194 | Jillian Greene Psychologist A Professional Corporation 9300 Wilshire Blvd Ste 320 Beverly Hills CA 90212-3203 Ph: (323) 821-8194 |
| NPI Number | 1750933354 |
|---|---|
| Provider Enumeration Date | 07/12/2019 |
| Last Update Date | 08/28/2019 |
| Medicare PECOS PAC ID | 2163751736 |
|---|---|
| Medicare Enrollment ID | O20190906001185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750933354 | NPI | - | NPPES |
| Provider Name | Jillian Greene |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164977054 PECOS PAC ID: 9032448600 Enrollment ID: I20190906001404 |
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