Healthcare Provider Details

I. General information

NPI: 1952317042
Provider Name (Legal Business Name): CINDY GREENBERG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 ROWLAND WAY STE 220
NOVATO CA
94945
US

IV. Provider business mailing address

2350 W EL CAMINO REAL FL 2
MOUNTAIN VIEW CA
94040-6203
US

V. Phone/Fax

Practice location:
  • Phone: 415-878-7200
  • Fax: 415-369-1274
Mailing address:
  • Phone: 415-878-7200
  • Fax: 415-369-1274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG80877
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: