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General NPI Number Information
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NPI Number | 1124912175
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Entity Type | Organization
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Legal Business Name | DANI GOLOMB MD MEDICAL CORP
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 1801 BUSH ST STE 230
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-5239
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Country | US
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Telephone | 415-300-0499
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 BUSH ST STE 230
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-5239
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Country | US
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Telephone | 415-300-0499
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Fax | 914-222-8995
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DANIELLE M GOLOMB
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Credential | MD
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Telephone | 415-300-0499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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