MEDICARE: PAUL S GREENBERG MD A MEDICAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	C35916	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427245125
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAUL S GREENBERG MD A MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	6531 E MANTOVA ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90815-4661
Country	:	US
Telephone Number	:	562-596-9401
Fax Number	:	562-596-0626

Provider Business Practice Location Address
First Line	:	6531 E MANTOVA ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90815-4661
Country	:	US
Telephone Number	:	562-596-9401
Fax Number	:	562-596-0626

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PAUL STANLEY GREENBERG
Credential	:	MD
Telephone Number	:	562-596-9401

Provider Enumeration Date	:	09/27/2007
Last Update Date	:	07/15/2010

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