Provider Demographics
NPI:1689476129
Name:GREENHOUSE, CHEYENNE LEE (MD)
Entity type:Individual
Prefix:
First Name:CHEYENNE
Middle Name:LEE
Last Name:GREENHOUSE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HCA LOS ROBLES HOSPITAL 215 W. JANSS ROAD
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-1847
Mailing Address - Country:US
Mailing Address - Phone:805-871-1854
Mailing Address - Fax:
Practice Address - Street 1:HCA LOS ROBLES HOSPITAL 215 W. JANSS ROAD
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360
Practice Address - Country:US
Practice Address - Phone:805-871-1854
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program