| Billie Green, Medical Corporation | |
|
1101 Felspar St San Diego CA 92109-2925 | |
| (858) 483-1720 | |
| Not Available |
| Full Name | Billie Green, Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1101 Felspar St, San Diego, California |
| Authorized Official Name and Position | Billie Green (OWNER) |
| Authorized Official Contact | 8584831720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Billie Green, Medical Corporation 1101 Felspar St San Diego CA 92109-2925 Ph: () - | Billie Green, Medical Corporation 1101 Felspar St San Diego CA 92109-2925 Ph: (858) 483-1720 |
| NPI Number | 1184765273 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 06/19/2008 |
| Medicare PECOS PAC ID | 7911003231 |
|---|---|
| Medicare Enrollment ID | O20070503000232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184765273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A44412 (California) | Primary |
| Provider Name | Billie E Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427048032 PECOS PAC ID: 9830295153 Enrollment ID: I20070503000224 |
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