Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | A159775 | CA |
N | 207VG0400X | Gynecologist | A159775 | CA |
NPI | 1164953030 |
---|---|
Provider Name | Kathryn Elizabeth Goldrath |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Santa Monica, CA 90404-1240 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2017 |
Last Update Date | 02/07/2021 |