DR. Stephanie Regena Green, MD
NPI #1114045200 in San Fernando, California
Provider Information
- NPI Number
- 1114045200
- Entity Type
- Individual
- Name
- DR. Stephanie Regena Green, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Credential
- MD
- Enumeration Date
- Mar 27, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1212 PICO ST
- City
- San Fernando
- State
- California
- ZIP Code
- 91340-3503
- Phone
- (818) 837-6969
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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