Doctor Name: | MRS. LINDA LOU GOLDBERG |
NPI Number: | 1023228871 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 257613 |
Business Practice Address: | 5 Bon Air Rd Suite 117 Larkspur, CA - 949391143 |
Business Phone Number: | 4159249770 |
Business Fax Number: | 4159248143 |
Mailing Address: | 5 Bon Air Rd, Suite 117 LARKSPUR |
State: | CA |
Postal Code: | 949391143 |
Phone Number: | 4159249770 |
Fax Number: | 4159248143 |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 257613 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |