| Mark Greenstadt, M.d., Inc. | |
|
18350 Roscoe Blvd Suite 300 Northridge CA 91325-4109 | |
| (818) 717-3021 | |
| (818) 717-3028 |
| Full Name | Mark Greenstadt, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 18350 Roscoe Blvd, Northridge, California |
| Authorized Official Name and Position | Mark Greenstadt (PRESIDENT) |
| Authorized Official Contact | 8187173021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Greenstadt, M.d., Inc. 18350 Roscoe Blvd Suite 300 Northridge CA 91325-4109 Ph: (818) 717-3021 | Mark Greenstadt, M.d., Inc. 18350 Roscoe Blvd Suite 300 Northridge CA 91325-4109 Ph: (818) 717-3021 |
| NPI Number | 1770635120 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770635120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G35141 (California) | Primary |
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