Individual provider · Type 1 NPI
Brayden Green
Addiction (Substance Use Disorder) Registered Nurse · Los Angeles, CA
NPI number
1104747567
Active
Practice location
3619 N Mission Rd
Los Angeles, CA 90031-3136
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse Primary | 163WA0400X | 95461343 (CA) |
Addiction (Substance Use Disorder) Registered Nurse: Definition to come...
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About NPI 1104747567
Brayden Green's National Provider Identifier is 1104747567, issued on Jul 22, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 22, 2026.