Healthcare Provider Details

I. General information

NPI: 1033545603
Provider Name (Legal Business Name): ALAN RICHARD GREENFIELD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2013
Last Update Date: 12/14/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4367 PARK BLU
CALABASAS CA
91302-2818
US

IV. Provider business mailing address

4367 PARK BLU
CALABASAS CA
91302-2818
US

V. Phone/Fax

Practice location:
  • Phone: 818-225-8486
  • Fax:
Mailing address:
  • Phone: 818-225-8486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberG38571
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: