Individual provider · Type 1 NPI

Lydia Marie Green, MD

Adult Medicine Physician · Los Angeles, CA

NPI number 1952336752 Active

Practice location

6033 W Century Blvd Ste 200
Los Angeles, CA 90045-6440

Call (323) 691-1772 Map

Mailing address

2851 W 120th St Ste E-134
Hawthorne, CA 90250-3395

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XA068297 (CA)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1952336752

Lydia Marie Green, MD's National Provider Identifier is 1952336752, issued on Jul 11, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 17, 2018.