Green Dermatologic Medical Group a Medical Corporation
NPI #1821116054 in Laguna Hills, California
Provider Information
- NPI Number
- 1821116054
- Entity Type
- Organization
- Organization Name
- Green Dermatologic Medical Group a Medical Corporation
- Primary Specialty
- Specialist
- Enumeration Date
- Mar 26, 2007
- Last Updated
- May 4, 2018
Practice Location
- Address
- 24411 HEALTH CENTER DR STE 520
- City
- Laguna Hills
- State
- California
- ZIP Code
- 92653-3633
- Phone
- (949) 452-3841
Authorized Official
- Name
- DR. ROLLIN M GREEN, M.D.
- Title
- PRESIDENT
- Phone
- (949) 452-3841
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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