MEDICARE: DR. JOSHUA DAVID GOLDEN M.D., F.A.P.A.

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
1	2084P0800X	Psychiatry Physician	G52933	CA

General Provider Information

NPI Number	:	1720008998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSHUA DAVID GOLDEN M.D., F.A.P.A.

Provider Business Mailing Address
First Line	:	PO BOX 17529
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92177-7529
Country	:	US
Telephone Number	:	619-220-0201
Fax Number	:

Provider Business Practice Location Address
First Line	:	591 CAMINO DE LA REINA
Second Line	:	STE 1030
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3102
Country	:	US
Telephone Number	:	619-220-0201
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	02/15/2017

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