OrganizationActive
Greater Good Health PC, Inc.
NPI 1033095914 · Primary Care Clinic/Center · Ammon, ID
Provider details
- NPI number
- 1033095914
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sylvia Hastanan, Vice President(310) 795-8807
Specialties & taxonomies
Ambulatory Health Care Facilities
- Primary Care Nurse Practitioner363LP2300X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3017 Eagle Drive
Ammon, ID 83406
Phone: (626) 232-3929
Approximate (ZIP-level) locationGet directions
Mailing address
300 Continental Blvd Ste 560
El Segundo, CA 90245-5030
Registry dates
- Enumerated
- 2025-08-14
- Last updated
- 2025-08-14
- Certified
- 2025-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.