Most Relevant Information
Provider Data
| NPI Number: | 1003820721 |
| Provider Name: | STACY GREENE M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207RI0200X |
| Specialty: | Internal Medicine |
| License Number: | 69410 |
Most Important Dates
| Enumeration Date: | 07/28/2006 |
| Last Updated: | 05/07/2024 |
Provider Practice Location
CHERRY BLOSSOM LANE UNIT C
GRETNA
LA
70056
Practice Location Phone/Fax
| Phone: | 5044735856 |
| Fax: |
Provider Mailing Location
6255 W SUNSET BLVD FL 21
LOS ANGELES
CA
900287422
Provider Mailing Phone/Fax
| Phone: | 3238605200 |
| Fax: | 3234677119 |
Suggested EMR
Infectious Disease EMR