Organization · Type 2 NPI
Green Flash Physician Oversight PC
Clinical Neurophysiology Physician · San Diego, CA
Practice location
2868 Bayside Walk Unit C
San Diego, CA 92109-8119
Mailing address
319 Willis Ave Fl 2
Mineola, NY 11501-1510
Other practice locations
- 319 Willis Ave Fl 2, Mineola, NY 11501-1510 · (917) 273-4092
- 4728 Marine Ave, Lawndale, CA 90260-1247 · (424) 374-8434
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Neurophysiology Physician Primary | 2084N0600X | None listed |
Clinical Neurophysiology Physician: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Other clinical neurophysiology physician providers in San Diego
About NPI 1316560378
Green Flash Physician Oversight PC's National Provider Identifier is 1316560378, issued on May 26, 2020. The primary taxonomy on file is Clinical Neurophysiology Physician (2084N0600X), and the practice location is in San Diego, CA. The record was last updated on Apr 14, 2026.