IndividualActive
Charles Green, MD
NPI 1073698189 · Body Imaging Physician · Susanville, CA
Provider details
- NPI number
- 1073698189
- Entity type
- Individual
- Primary specialty
- Body Imaging PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- G46958 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
60 Hall Street
Susanville, CA 96130
Phone: (530) 257-6010
Fax: (530) 257-6038
Approximate (ZIP-level) locationGet directions
Mailing address
60 Hall Street
Susanville, CA 96130
Registry dates
- Enumerated
- 2006-10-26
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.