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Individual

ELIZA GOLLUB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
9725 WILSHIRE BLVD, BEVERLY HILLS, CA 90212
(888) 663-6331
(415) 252-7176
Mailing address
9725 WILSHIRE BLVD, BEVERLY HILLS, CA 90212-2002
(323) 305-7150
(323) 305-7149

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NPP37773
RI
363LA2200X
Adult Health Nurse Practitioner
084009-23
NH
363LA2200X
Adult Health Nurse Practitioner
Primary
95003022
CA
363LA2200X
Adult Health Nurse Practitioner
RN2269752
MA

Other

Enumeration date
07/29/2013
Last updated
03/17/2025
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