Organization
ELLIE JC GOLDSTEIN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIE JC GOLDSTEIN MD INC M.D. (PRESIDENT)
(310) 315-1511
Entity
Organization
Contact information
Practice address
2021 SANTA MONICA BLVD, 740 E, SANTA MONICA, CA 90404-2208
(310) 315-1511
(310) 315-3662
Mailing address
2021 SANTA MONICA BLVD, 740 E, SANTA MONICA, CA 90404-2208
(310) 315-1511
(310) 315-3662
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G30475
CA
Other
Enumeration date
04/08/2010
Last updated
04/11/2018
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