| Michael Douglas Green, PA | |
|
1300 W 7th St, San Pedro, CA 90732-3505 | |
| (310) 514-5350 | |
| (310) 514-5421 |
| Full Name | Michael Douglas Green |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1300 W 7th St, San Pedro, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922030576 | NPI | - | NPPES |
| PA13335 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA13335 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Douglas Green, PA Po Box 661360, Arcadia, CA 91066-1360 Ph: (626) 447-0296 | Michael Douglas Green, PA 1300 W 7th St, San Pedro, CA 90732-3505 Ph: (310) 514-5350 |
Michael Appy, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1643 Westmont Dr, San Pedro, CA 90732 Phone: 310-430-8308 | |
Nancy M Hejde, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1001 S Seaside Ave, San Pedro, CA 90731 Phone: 310-521-6053 | |
Mrs. Kimberly S. Hua, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1600 S Gaffey St, San Pedro, CA 90731 Phone: 310-548-0201 Fax: 310-547-3340 | |
Emily Lavi, Physician Assistant Medicare: Medicare Enrolled Practice Location: 350 W 5th St Ste 209, San Pedro, CA 90731 Phone: 310-521-6386 | |
Ms. Denise Donahue, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 593 W 6th St, San Pedro, CA 90731 Phone: 310-547-0202 Fax: 310-547-5096 | |
Erin Marie Lisko, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1001 S Seaside Ave, San Pedro, CA 90731 Phone: 717-977-8339 | |
Mr. Joseph Anthony Mattera, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1366 W 7th St Ste 4b, San Pedro, CA 90732 Phone: 310-547-2197 |