Lydia Green MD Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LYDIA GREEN MD INC

Practice address

1600 W Avenue J
Lancaster, CA 93534-2814

Phone

(323) 691-1772

NPI assigned

Apr 30, 2019

Organization subpart

No

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

Authorized official

Name

Lydia Green, MD

Title

Owner

Phone

(323) 691-1772

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1861056228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 W 120TH ST STE E-134",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902503395",
            "telephone_number": "323-691-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342814",
            "telephone_number": "323-691-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYDIA GREEN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-691-1772",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikhail Lvovich
• Amanda Ly, OD
• Britney Okalani Ly
• Thaovari Thi Ly, OTR/L
• Olga Lyass, M.D.
• Lydia'S Medical Nutrition Therapy
• Latosha Lynch
• Andrew R Lyons
• M&a Hospice, Inc.
• Rita Jung Ma, PHD

• General Practice Physician in Lancaster, CA
• Providers in Lancaster, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.