Individual
ANDREA S. GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
(818) 375-2000
Mailing address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
(818) 375-2000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G35490
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M050376
COUNTY OF LOS ANGELES HARBOR -UCLA MEDICAL CENTER
CA
Enumeration date
11/14/2006
Last updated
11/19/2008
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