OrganizationActive
Green Flash Physician Oversight PC
NPI 1316560378 · Clinical Neurophysiology Physician · San Diego, CA
Provider details
- NPI number
- 1316560378
- Entity type
- Organization
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joseph Moreira, President(917) 273-4092
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2868 Bayside Walk Unit C
San Diego, CA 92109-8119
Phone: (917) 273-4092
Approximate (ZIP-level) locationGet directions
Mailing address
319 Willis Ave Fl 2
Mineola, NY 11501-1510
Additional practice locations (2)
- 4728 Marine AveLawndale, CA 90260-1247Phone: (424) 374-8434Fax: (866) 225-3208
- 319 Willis Ave Fl 2Mineola, NY 11501-1510Phone: (917) 273-4092
Registry dates
- Enumerated
- 2020-05-26
- Last updated
- 2026-04-14
- Certified
- 2026-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.