Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | A117052 | CA |
NPI | 1306092564 |
---|---|
Provider Name | Dr. Melanie Goldfarb |
First Address | Los Angeles, CA 90036-2752 |
Second Address | Santa Monica, CA 90404-2312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2008 |
Last Update Date | 16/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1306092564 | (05) | CA |