Individual
IRENE TOBY GOLDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 MEDICLAL PLZ, LOS ANGELES, CA 90095-0001
(310) 825-9989
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5632
(310) 301-8708
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY3611
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY036110
MEDICAL
CA
Enumeration date
08/24/2006
Last updated
07/31/2008
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