Individual
DR. AMIR GOLDKORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1441 EASTLAKE AVE, NOR 8302E, LOS ANGELES, CA 90089-0112
(323) 865-3105
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 865-3105
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
A71867
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A643210
BLUE SHIELD
CA
01
—
00A643210197
CAL OPTIMA
CA
05
—
00A718670
—
CA
01
—
06E2774
GROUP CHAMPUS
CA
01
—
1356390009
GROUP NPI
CA
01
—
1902846306
GROUP NPI
CA
01
—
CE1617
GROUP RAILROAD MEDICARE
CA
01
—
GR0016910
GROUP MEDICAID PIN
CA
01
—
GR0100430
GROUP MEDICAL
CA
01
—
P00322106
RAILROAD MEDICARE
CA
01
—
W11675
GROUP MEDICARE PIN
CA
01
—
W18762
GROUP MEDICARE
CA
01
—
ZZZ50018Z
GROUP BLUE SHIELD
CA
Enumeration date
04/11/2007
Last updated
11/27/2023
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