Organization Name: | RA GREENBERG MEDICAL CORP. |
NPI Number: | 1558450379 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD ALAN GREENBERG (PRESIDENT) |
Mailing Address: | 1831 Wilshire Blvd #201 Santa Monica |
State: | CA US |
Postal Code: | 904035777 |
Phone Number: | 3108290636 |
Fax Number: | 3104531791 |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 02/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | C-18884 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |