MEDICARE: DR. DYLAN GREEN DC

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	111N00000X	Chiropractor	DC37192	CA

General Provider Information

NPI Number	:	1285428458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DYLAN GREEN DC

Provider Business Mailing Address
First Line	:	2511 GARDEN RD STE C100
Second Line	:
City	:	MONTEREY
State	:	CA
Zip	:	93940-5333
Country	:	US
Telephone Number	:	831-899-5900
Fax Number	:	831-899-5958

Provider Business Practice Location Address
First Line	:	2511 GARDEN RD STE C100
Second Line	:
City	:	MONTEREY
State	:	CA
Zip	:	93940-5333
Country	:	US
Telephone Number	:	831-899-5900
Fax Number	:	831-899-5958

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

Provider Enumeration Date	:	04/04/2025
Last Update Date	:	04/16/2025

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Directions to “ DR. DYLAN GREEN DC” Practice Location

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