Mack Green, MD
Mack Green, MD is a Sports Medicine in Apple Valley, California. Qualified in 2008, 18 years ago. Practices with Southern California Bone and Joint Clinic Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 18
- Licensed in
- CA
- In the registry since
- 2010
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
16008 Kamana Rd Ste 100Apple Valley, CA 92307-1376
Phone: (760) 956-5200
Fax: (760) 669-0793
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Family Medicine) Physician (primary) | Taxonomy 207QS0010X · Licence A1259029 (CA) |
|---|
Record details
| NPI number | 1043531676 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 17, 2010 |
| Last updated in NPPES | September 28, 2015 |
| Mailing address | 12277 Apple Valley Rd, Pmb 288, Apple Valley, CA 92308-1701 |
Medicare enrollment
| Medicare specialty | SPORTS MEDICINE |
|---|---|
| Also practises | FAMILY PRACTICE |
| Medical school | OTHER |
| Graduated | 2008 (18 years in practice) |
| Group practice | Southern California Bone And Joint Clinic Inc — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |