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Individual

SARAH JULIA GOLDBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
200 MEDICAL PLAZA, SUITE 365, LOS ANGELES, CA 90095-0001
(310) 301-8708
(310) 301-8751
Mailing address
200 MEDICAL PLAZA, SUITE 365, LOS ANGELES, CA 90095-0001
(310) 301-8708
(310) 301-8751

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
608924
CA
164W00000X
Licensed Practical Nurse
Primary
16694
CA
363L00000X
Nurse Practitioner
16694
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16694
NP LICENSE
CA
01
608924
RN LICENSE
CA
Enumeration date
01/30/2008
Last updated
01/30/2008
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