Justin Taylor Green
Justin Taylor Green is a Surgical Assistant in Long Beach, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
1760 Termino Ave Ste 208Long Beach, CA 90804-2151
Phone: (562) 961-5655
Fax: (562) 961-8819
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Surgical Assistant | Taxonomy 246ZC0007X (CA) |
Record details
| NPI number | 1093312142 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 1, 2020 |
| Last updated in NPPES | October 1, 2020 |
| Certification date | October 1, 2020 |
| Mailing address | 1052 Airshire Ln, Pomona, CA 91766-5559 |