| Organization Name: | JONATHAN GREENBURG, DDS, INC |
| NPI Number: | 1306066956 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JONATHAN GIL GREENBURG (PRESIDENT) |
| Mailing Address: | 5363 Balboa Blvd Suite 245 Encino |
| State: | CA US |
| Postal Code: | 913162805 |
| Phone Number: | 8182051122 |
| Fax Number: | 8183868963 |
| NPI Enumeration Date: | 04/26/2007 |
| NPI Last Update Date: | 06/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 30452 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |