Jonathan Wade Goldman in Santa Monica - Internal Medicine

Jonathan Wade Goldman - NPI 1750593844

Jonathan Wade Goldman is a Internal Medicine in Santa Monica, California. Jonathan Wade Goldman practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jonathan Wade Goldman is 1750593844. The last update date is 2011-11-23.

Jonathan Wade Goldman's current location address is 2020 Santa Monica Blvd, Santa Monica, California. You can contact this provider via phone number 3106338400. The mailing address for Jonathan Wade Goldman is 2020 Santa Monica Blvd, Santa Monica, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan Wade Goldman
Address 2020 Santa Monica Blvd, Santa Monica, California
Phone Number 3106338400
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1750593844
Provider Enumeration Date 2007-05-03
Last Updated Date 2011-11-23

Provider Mailing Address Detail

Address 2020 Santa Monica Blvd
City Santa Monica
State California (CA)
Post Code 904042023
Phone Number 3106338400
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No A82786
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1750593844 CA --
A82786 CA CALIFORNIA STATE MEDICAL LICEN

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FAQs about Jonathan Wade Goldman

What is the Jonathan Wade Goldman's 1750593844?

The Jonathan Wade Goldman's NPI (National Provider Identifier) Number is 1750593844. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Jonathan Wade Goldman?

The Jonathan Wade Goldman is physically situated at 2020 Santa Monica Blvd, in the city of Santa Monica, state of CA, with the postal code 904042023.

What is Jonathan Wade Goldman's area of expertise and its corresponding taxonomy classification?

The Jonathan Wade Goldman's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1750593844 to Jonathan Wade Goldman?

The Centers for Medicare & Medicaid Services originally issued the 1750593844 to Jonathan Wade Goldman on 2007-05-03.

As of what date were the details pertaining to Jonathan Wade Goldman last refreshed?

The information related to the Jonathan Wade Goldman, including its address, specialty, and other relevant details, was last updated on 2011-11-23.

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