JUSTIN TAYLOR GREEN
NPI 1093312142
Student in an Organized Health Care Education/Training Program in Long Beach, CA

Active since October 01, 2020
1760 TERMINO AVE STE 208, LONG BEACH, CA 90804(562) 961-5655(562) 961-8819 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Justin Taylor Green NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN TAYLOR GREEN (NPI 1093312142) is an individual student in an organized health care education/training program in Long Beach, California and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1093312142
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN TAYLOR GREEN
Location Address1760 TERMINO AVE STE 208Long Beach, CA 90804-2151
Mailing Address1052 Airshire LnPomona, CA 91766-5559 · (562) 347-8719
Fax(562) 961-8819
Sole ProprietorYes
Enumeration DateOctober 1, 2020
NPPES CertifiedOctober 1, 2020
NPI 1093312142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1760 TERMINO AVE STE 208, Long Beach, CA 90804

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
1760 TERMINO AVE STE 208
LONG BEACH, CA 90804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Green's NPI number?

The NPI number for Justin Green is 1093312142. It was assigned to this individual provider in the NPPES registry on October 1, 2020.

Where is Justin Green located?

Justin Green practices at 1760 Termino Ave Ste 208, Long Beach, CA 90804. The listed phone number is (562) 961-5655.

What is Justin Green's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Justin Green was last updated on October 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.