Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Green Flash Physician Oversight PC

Organization Clinical Neurophysiology Physician · NPI 1316560378

Green Flash Physician Oversight PC is a Clinical Neurophysiology Physician in San Diego, California. Works from 3 locations. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2868 Bayside Walk Unit C
San Diego, CA 92109-8119
Phone: (917) 273-4092
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4728 Marine Ave, Lawndale, CA 90260-1247 — (424) 374-8434
  • 319 Willis Ave Fl 2, Mineola, NY 11501-1510 — (917) 273-4092

Specialties & licences

Clinical Neurophysiology Physician (primary) Taxonomy 2084N0600X

Record details

NPI number1316560378
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Moreira — President · (917) 273-4092
NPI enumeratedMay 26, 2020
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026
Mailing address319 Willis Ave Fl 2, Mineola, NY 11501-1510

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