Nathanael Gideon Green
NPI #1225923931 in Lake Forest, California
Provider Information
- NPI Number
- 1225923931
- Entity Type
- Individual
- Name
- Nathanael Gideon Green
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Jun 11, 2025
- Last Updated
- Jun 11, 2025
Practice Location
- Address
- 23072 LAKE CENTER DR STE 115
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-2880
- Phone
- (949) 406-9694
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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