MEDICARE: DR. CATOU L GREENBERG M.D.

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	207Q00000X	Family Medicine Physician	G67725	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01285623	OTHER	CA	MEDICARE RAILROAD

General Provider Information

NPI Number	:	1528008828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CATOU L GREENBERG M.D.

Provider Business Mailing Address
First Line	:	PO BOX 2218
Second Line	:
City	:	SUISUN CITY
State	:	CA
Zip	:	94585-5218
Country	:	US
Telephone Number	:	657-241-3600
Fax Number	:	657-241-7708

Provider Business Practice Location Address
First Line	:	1441 AVOCADO AVE
Second Line	:	SUITE 503
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-7721
Country	:	US
Telephone Number	:	949-718-9020
Fax Number	:	949-718-9040

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	08/10/2023

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