Mack C Green, IV
Medical Specialty
Professional ID
- NPI: 1043531676
- PECOS ID: 8325260730
- Enrollment ID: I20141118002679
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2008
Hospital Service
- Hospital CCN1: 050517
- Business Name (LBN)1: Victor Valley Global Medical Center
Medical Practices
- Organization Name: Southern California Bone And Joint Clinic Inc
- Group Practice ID assigned by PECOS: 3870771769
- Number of Group Practice member: 2
Location
- Address1: 16008 Kamana Rd
- Address2: Suite 100
- City: Apple Valley
- State: California
- Zip Code: 92307
- Phone Number: (760)956-5200
Location
- Address1: 705 E Virginia Way
- Address2: Suite C
- City: Barstow
- State: California
- Zip Code: 92311
- Phone Number: (760)956-5200
Medical Practices
- Organization Name: Victor Valley Hospital Acquisition Inc
- Group Practice ID assigned by PECOS: 6608029566
- Number of Group Practice member: 2
Location
- Address1: 12384 Palmdale Rd
- Address2: Suite 104
- City: Victorville
- State: California
- Zip Code: 92392
- Phone Number: (760)843-6101
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR): Yes