Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | A70141 | CA |
NPI | 1003828443 |
---|---|
Provider Name | Ms. Tatiana Goldstein |
First Address | San Francisco, CA 94118-2682 |
Second Address | San Francisco, CA 94118-2682 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2006 |
Last Update Date | 24/10/2019 |