Individual
MS. DANA MERYL GOLDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
740 S ALLIED WAY STE D, EL SEGUNDO, CA 90245-5512
(310) 500-2045
(323) 305-7149
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1112531
NCCPA
CA
Enumeration date
09/10/2013
Last updated
02/17/2022
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