Dr GARY A GREEN MD is a male medical professional, specializing in Family Medicine. He graduated in 1983.
PACIFIC PALISADES MEDICAL GROUP INC
15200 W SUNSET BLVD
SUITE 107
PACIFIC PALISADES
CA
902723620
Tel: 3104597736
| Npi | 1154345254 |
| Pac Id | 8325010788 |
| Professional Enrollment Id | I20040807000241 |
| Last Name | GREEN |
| First Name | GARY |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PACIFIC PALISADES MEDICAL GROUP INC |
| Group Practice Pac Id | 1153393517 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 15200 W SUNSET BLVD |
| Line 2 Street Address | SUITE 107 |
| Marker Of Address Line 2 Suppression | |
| City | PACIFIC PALISADES |
| State | CA |
| Zip Code | 902723620 |
| Phone Number | 3104597736 |
| Hospital Affiliation Ccn 1 | 050262 |
| Hospital Affiliation Lbn 1 | RONALD REAGAN U C L A MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 050112 |
| Hospital Affiliation Lbn 2 | SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
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| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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