Stacey D Green
NP | Nurse Practitioner
200 Ucla Medical Plz Ste 120, Los Angeles
California, 90095-1835
310-206-9260
Stacey D Green is a Los Angeles, California based nurse practitioner. Active license number of Stacey D Green is 602389 in California. Her current practice location is 200 Ucla Medical Plz Ste 120, Los Angeles. Patients can reach her at 310-206-9260 or can fax her at 310-794-1649. Stacey D Green is NP and her NPI number (Unique professional ID assigned by NPPES) is 1053374397.
Stacey D Green has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Stacey D Green speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Stacey D Green |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP |
| Practice Address: | 200 Ucla Medical Plz Ste 120, Los Angeles,
California, 90095-1835 |
| Phone: | 310-206-9260 |
| Fax: | 310-794-1649 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1053374397 |
| NPI Enumeration Date: | 08 Apr, 2006 |
| NPI Last Update On: | 02 Jan, 2020 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacey D Green are as mentioned below.
| License Number | Specialization | State | Status | |
| 602389 | | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Stacey D Green such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| RN602389 | Medicaid | California | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Stacey D Green
5767 W Century Blvd Ste 400,
Los Angeles, California |
| Zip: | 90045-5631 |
Patients can reach Stacey D Green at
200 Ucla Medical Plz Ste 120, Los Angeles, California or can
call to book an appointment on 310-206-9260.
Comments/ Reviews:
Patients can read all the reviews posted for Stacey D Green below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Stacey D Green. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.