Organization
MICHAEL GOLDHAMER M. D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GOLDHAMER M. D. (PRESIDENT)
(619) 299-2570
Entity
Organization
Contact information
Practice address
501 WASHINGTON ST, SUITE 508, SAN DIEGO, CA 92103-2231
(619) 299-2570
(619) 819-7259
Mailing address
501 WASHINGTON ST, SUITE 508, SAN DIEGO, CA 92103-2231
(619) 299-2570
(619) 819-7259
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G14025
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G140250
—
CA
Enumeration date
09/22/2006
Last updated
12/17/2010
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