Green Valley Laser, LLC
Organization Active NPI Customized Equipment (DME) · Freedom, CA
NPI 1669551271 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1669551271
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Customized Equipment (DME) 332BC3200X
- License
- G75256 MED DIRECTOR (CA)
- Legal business name
- GREEN VALLEY LASER, LLC
- Practice address
- 160 Green Valley Rd
Suite 201
Freedom, CA 95019-3160 - Phone
- (831) 722-2445
- Fax
- (831) 722-6032
- NPI assigned
- Nov 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. David S. Benjamin, M.D.
- Title
- Director
- Phone
- (831) 722-2445
National Provider Directory
Locations
160 Green Valley Rd
Ste 201
Freedom, CA 95019
Phone (831) 724-7874
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | G75256 MED DIRECTOR | CA | Yes |
Addresses
Primary practice location
160 Green Valley Rd
Suite 201
Freedom, CA 95019-3160
Mailing address
160 Green Valley Rd
Suite 201
Freedom, CA 95019-3160
Phone (831) 722-2445
Other providers in Freedom, CA
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- Gordon Gardner Goldstine
- Alexander Leonard Gordon
- Maria Sembrano Granthom
- Gilbert J Grio
- Marc L Grossman
- Vinh Quoc Ha
- Conrad Hamako
- Lisa Patrice Hamil
All providers in Freedom, CA · Customized Equipment (DME) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.