Dr. Bradley Samuel Goldberg
Pediatric Emergency Physician
4650 W Sunset Blvd # 113
Los Angeles
, California 90027-6062
Dr. Bradley Samuel Goldberg
Pediatric Emergency Physician
4650 W Sunset Blvd # 113
Los Angeles
, California 90027-6062
(323) 361-3891
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About
Features
Specialties
- Pediatric Emergency Physician
Languages spoken
- English
Location
First Address
- Dr. Bradley Samuel Goldberg
- 4650 Sunset Blvd Ms# 113
- Los Angeles, CA
- Zip : 90027-6062
- Fax : (323) 361-3891
- Phone : (323) 361-2109
Second Address
- Dr. Bradley Samuel Goldberg
- 4650 W Sunset Blvd # 113
- Los Angeles, CA
- Zip : 90027-6062
- Fax : (323) 361-3891
- Phone : (323) 361-2109
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PP0204X | Pediatric Emergency Physician | A147964 | CA |
National Provider Identifier
| NPI | 1164765244 |
|---|---|
| Provider Name | Dr. Bradley Samuel Goldberg |
| First Address | Los Angeles, CA 90027-6062 |
| Second Address | Los Angeles, CA 90027-6062 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/03/2013 |
| Last Update Date | 09/09/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.