Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | G30783 | CA |
Y | 111NI0900X | Internist | G30783 | CA |
NPI | 1003336835 |
---|---|
Provider Name | Dr. Steven Golbus |
First Address | El Cajon, CA 92019 |
Second Address | El Cajon, CA 92019-1002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2017 |
Last Update Date | 22/06/2017 |