Organization
GOTHAM PSYCHIATRIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GOLDER MD (PRESIDENT)
(213) 814-0040
Entity
Organization
Contact information
Practice address
5419 HOLLYWOOD BLVD STE C172, LOS ANGELES, CA 90027-3480
(213) 814-0040
(917) 338-1381
Mailing address
600 N BRAND BLVD STE 640, GLENDALE, CA 91203-4215
(213) 814-0040
(917) 338-1381
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G141046
CA
Other
Enumeration date
08/01/2016
Last updated
12/08/2020
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