MEDICARE: JOSHUA DAVID GREEN D.O.

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	207P00000X	Emergency Medicine Physician	5101019374	MI
2	207P00000X	Emergency Medicine Physician	14056	CA

General Provider Information

NPI Number	:	1932494929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA DAVID GREEN D.O.

Provider Business Mailing Address
First Line	:	27351 DEQUINDRE RD
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-3487
Country	:	US
Telephone Number	:	248-967-7795
Fax Number	:	248-967-7794

Provider Business Practice Location Address
First Line	:	11177 TAMPA AVE UNIT A
Second Line	:
City	:	PORTER RANCH
State	:	CA
Zip	:	91326-2254
Country	:	US
Telephone Number	:	818-850-7129
Fax Number	:	818-850-7139

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

Provider Enumeration Date	:	06/17/2011
Last Update Date	:	04/13/2022

Similar Medicare Providers

1184582439 — DIAB ABDULNOUR PHARM. D
Practice Location Address:

11177 TAMPA AVE STE B
PORTER RANCH, CA
91326-2254

Practice Phone: 818-350-3998
Practice Fax:

1184731960 — PORTER RANCH MEDICAL CENTER
Practice Location Address:

11177 TAMPA AVENUE , SUITE A
PORTER RANCH, CA
91326-2254

Practice Phone: 818-831-8000
Practice Fax: 818-831-8005

1902093552 — DR. PHILIP WILLIAM BANKS PHARM.D.
Practice Location Address:

11167 TAMPA AVE
PORTER RANCH, CA
91326-2254

Practice Phone: 818-360-1915
Practice Fax: 818-368-4987

1225357700 — DR. JOYCE YOUNG D.C.
Practice Location Address:

11177 TAMPA AVE , SUITE A
PORTER RANCH, CA
91326-2254

Practice Phone: 818-831-8000
Practice Fax: 818-831-8005

1346541653 — BRIGITTE ANNE CAILLE R.D.
Practice Location Address:

11177 TAMPA AVE , SUITE A
PORTER RANCH, CA
91326-2254

Practice Phone: 818-831-8000
Practice Fax: 818-831-8005

1417248774 — MISS NEREIDA PADILLA CMT
Practice Location Address:

11177 TAMPA AVE , STE A
PORTER RANCH, CA
91326-2254

Practice Phone: 818-831-8000
Practice Fax: 818-831-8005

Directions to “ JOSHUA DAVID GREEN D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.