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General NPI Number Information
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NPI Number | 1942956255
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Entity Type | Organization
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Legal Business Name | GOLDBERG PSYCHIATRY
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Dates
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Enumeration Date | 02/24/2022
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Last Update Date | 02/24/2022
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Provider Practice Location Address
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Address Line | 8075 W 3RD ST STE 306
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City | LOS ANGELES
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State | CA
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Zip | 90048-4334
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Country | US
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Telephone | 310-363-0765
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Fax |
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Provider Business Mailing Address
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Address Line | 8075 W 3RD ST STE 306
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City | LOS ANGELES
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State | CA
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Zip | 90048-4334
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ARYEH L GOLDBERG
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Credential | MD, MA
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Telephone | 310-363-0765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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