Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | G27108 | CA |
N | 111NI0900X | Internist | G27108 | CA |
N | 207RP1001X | Pulmonary Disease | G27108 | CA |
NPI | 1043267446 |
---|---|
Provider Name | Dr. Jeffrey A. Golden |
First Address | San Francisco, CA 94143-0001 |
Second Address | San Francisco, CA 94143-2202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G271080 | (05) | CA |
A43224 | (02) | CA |