Mack Green
Family Doctor - Sports Medicine
16008 Kamana Rd Suite 100
Apple Valley
, California 92307-1376
Mack Green
Family Doctor - Sports Medicine
16008 Kamana Rd Suite 100
Apple Valley
, California 92307-1376
(760) 669-0793
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Mack Green
- 12277 Apple Valley Rd Pmb 288
- Apple Valley, CA
- Zip : 92308-1701
- Fax : (760) 669-0793
- Phone : (760) 956-5200
Second Address
- Mack Green
- 16008 Kamana Rd Suite 100
- Apple Valley, CA
- Zip : 92307-1376
- Fax : (760) 669-0793
- Phone : (760) 956-5200
Reviews
FAQs
Where did Mack Green attend graduate school?
Where did Mack Green do his residency?
Where did Mack Green do his fellowship?
Is Mack Green board certified?
What type of doctor is Mack Green
In what state does Mack Green practice in?
Where is Mack Green ’s practice located?
What is Mack Green ’s gender?
Is Mack Green a sole practitioner?
Is Mack Green accepting new patients?
What languages does Mack Green speak?
Does Mack Green accept insurance?
Does Mack Green offers telemedicine?
What is Mack Green ’s professional license number?
What is Mack Green ’s NPI number?
Does Mack Green have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | A1259029 | CA |
National Provider Identifier
| NPI | 1043531676 |
|---|---|
| Provider Name | Mack Green |
| First Address | Apple Valley, CA 92308-1701 |
| Second Address | Apple Valley, CA 92307-1376 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/06/2010 |
| Last Update Date | 28/09/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.