Doctor Name: | DR. MARINA GOLD |
NPI Number: | 1770653974 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | A41684 |
Business Practice Address: | 631 E Colorado St Suite C Glendale, CA - 912051797 |
Business Phone Number: | 8185078181 |
Business Fax Number: | 8185079431 |
Mailing Address: | 26781 Bouquet Cyn Rd, SANTA CLARITA |
State: | CA |
Postal Code: | 913502358 |
Phone Number: | 6612971177 |
Fax Number: | 6612971530 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 07/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A41684 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |