Healthcare Provider Details

I. General information

NPI: 1053611954
Provider Name (Legal Business Name): JOSEPH JOSHUA GREENSTEIN RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2010
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8985 VENICE BLVD
LOS ANGELES CA
90034-3344
US

IV. Provider business mailing address

12837 COLLINS ST
VALLEY VILLAGE CA
91607-1406
US

V. Phone/Fax

Practice location:
  • Phone: 310-838-1049
  • Fax:
Mailing address:
  • Phone: 954-612-4022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number85778
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17651
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: