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

Walter S Green MD Medical Corporation

Organization Specialist · NPI 1114120243

Walter S Green MD Medical Corporation is a Specialist in San Clemente, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

657 Camino De Los Mares Ste 242
San Clemente, CA 92673-2811
Phone: (949) 496-6066
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A09766 (CA)

Record details

NPI number1114120243
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Walter Green — Medical Doctor · (949) 496-6066
NPI enumeratedJune 6, 2007
Last updated in NPPESJanuary 10, 2009
Mailing address657 Camino De Los Mares Ste 242, San Clemente, CA 92673-2811

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