Goldberg, Jessica Diane

Goldberg, Jessica Diane is an individual health care provider with primary practice located at 2640 Industry Way , Lynwood CA 90262-4284. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Goldberg, Jessica Diane can be contacted via phone (310) 627-4525.

Contact Information

Primary practice address
2640 Industry Way Lynwood CA 90262-4284
Phone: (310) 627-4525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X A76156 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1194058545
LBN Legal business name Goldberg, Jessica Diane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2009
Last updated Jan 20th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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