Individual
DR. BRADLEY SAMUEL GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4650 W SUNSET BLVD # 113, LOS ANGELES, CA 90027-6062
(323) 361-2109
(323) 361-3891
Mailing address
4650 SUNSET BLVD, MS# 113, LOS ANGELES, CA 90027-6062
(323) 361-2109
(323) 361-3891
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
A147964
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2013
Last updated
07/21/2022
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