Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | A125501 | CA |
NPI | 1447578604 |
---|---|
Provider Name | Dr. Ellen Havah Goldstein |
First Address | West Hollywood, CA 90069-3706 |
Second Address | West Hollywood, CA 90069-3706 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2010 |
Last Update Date | 24/01/2022 |