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Richard M Green

  • Male

Medical Specialty

Professional ID

  • NPI: 1225221187
  • PECOS ID: 5294805453
  • Enrollment ID: I20080530000767
  • Credential(MD, DO, DPM):
  • Medical School: State University Of New York At Buffalo School Of Medicine
  • Medical School Graduation Year: 1973

Hospital Service

  • Hospital CCN1: 050549
  • Business Name (LBN)1: Los Robles Hospital Medical Center

Medical Practices

  • Organization Name: Richard M Green Md Facc A Medical Corporation
  • Group Practice ID assigned by PECOS: 8921178187
  • Number of Group Practice member: 0

Location

  • Address1: 2220 Lynn Rd
  • Address2: Suite 208
  • City: Thousand Oaks
  • State: California
  • Zip Code: 91360
  • Phone Number: (805)494-9494

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):