Green Cross Medical Surgical Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A3502 Issued in CA

Legal business name

GREEN CROSS MEDICAL SURGICAL INC

Practice address

9310 E. Valley Blvd Suite a
Rosemead, CA 91770-1924

Phone

(626) 288-8671

Fax

(626) 288-6648

NPI assigned

Mar 7, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Philip H Lee, D.O.NPI 1992981161

Title

Chairman

Phone

(626) 288-8671

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philip H Lee, D.O.

  • General Practice Physician
  • Burbank, CA
  • NPI 1992981161
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1700150802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 E. VALLEY BLVD SUITE A",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701924",
            "telephone_number": "626-288-8671",
            "fax_number": "626-288-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9310 E. VALLEY BLVD SUITE A",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701924",
            "telephone_number": "626-288-8671",
            "fax_number": "626-288-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN CROSS MEDICAL SURGICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "626-288-8671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie M Gonzalez
• Christopher Gooch, DPT
• Goodfaith Family Medical Clinic
• Goodfaith Family Medical Group
• Green Acres Lodge LLC
• Greenlife Wellness
• Tracy Greer, LVN
• Shannon Griffin
• Liana Grigorian, SLPA
• Isaiah Antonio Guerrero

• Family Medicine Physician in Rosemead, CA
• Providers in Rosemead, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.