Green Flash Physician Oversight PC
NPI #1316560378 in San Diego, California
Provider Information
- NPI Number
- 1316560378
- Entity Type
- Organization
- Organization Name
- Green Flash Physician Oversight PC
- Primary Specialty
- Psychiatry & Neurology - Clinical Neurophysiology
- Enumeration Date
- May 26, 2020
- Last Updated
- May 29, 2020
Practice Location
- Address
- 2868 BAYSIDE WALK UNIT C
- City
- San Diego
- State
- California
- ZIP Code
- 92109-8119
- Phone
- (917) 273-4092
Authorized Official
- Name
- DR. JOSEPH JOHN MOREIRA, MD
- Title
- PESIDENT
- Phone
- (917) 273-4092
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Clinical Neurophysiology — Clinical Neurophysiology |
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