Greenline Diagnostics

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

GREENLINE DIAGNOSTICS

Practice address

971 N la Cienega Blvd
Suite 202
Los Angeles, CA 90069-4790

Phone

(310) 602-9116

Fax

(310) 943-1727

NPI assigned

Nov 20, 2013

Organization subpart

No

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

Authorized official

Name

Eugeny Kirzhner

Title

President

Phone

(310) 602-9116

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1700216256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 N LA CIENEGA BLVD",
            "address_2": "SUITE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900694790",
            "telephone_number": "310-602-9116",
            "fax_number": "310-943-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 N LA CIENEGA BLVD",
            "address_2": "SUITE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900694790",
            "telephone_number": "310-602-9116",
            "fax_number": "310-943-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLINE DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "KIRZHNER",
        "authorized_official_first_name": "EUGENY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-602-9116"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Lynn Greengold, MD
• Caryn Eileen Greenhut, LMFT
• Aria Greenlee, MA, MS, MS, PSYD
• Nisha Thamban Greenlee, NP
• Sydney Greenlee
• Makishia Janetta Greeno
• Ronald Alan Greeno, MD
• Gerald Greenspan, MA
• Lola B Greenspan, MFT
• Mechelle R Greenspan, L.AC.

• Physiological Laboratory in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physiological Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.