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NPI Code Detail

MEDICARE: ELANA RAE GOLDMAN

MEDICARE: ELANA RAE GOLDMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerASW133205CA

General Provider Information

NPI Number : 1447036389
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELANA RAE GOLDMAN
Provider Business Mailing Address
First Line : 155 N OCCIDENTAL BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-4641
Country : US
Telephone Number : 213-381-2931
Fax Number : 213-385-8446
Provider Business Practice Location Address
First Line : 155 N OCCIDENTAL BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-4641
Country : US
Telephone Number : 213-381-2931
Fax Number : 213-385-8446
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2023
Last Update Date : 12/18/2025

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Directions to “ ELANA RAE GOLDMAN ” Practice Location

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