Goldman, Jonathan Wade

Goldman, Jonathan Wade is an individual health care provider with primary practice located at 2020 Santa Monica Blvd Suite 600, Santa Monica CA 90404-2023. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Goldman, Jonathan Wade can be contacted via phone (310) 633-8400.

Contact Information

Primary practice address
2020 Santa Monica Blvd Suite 600 Santa Monica CA 90404-2023
Phone: (310) 633-8400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A82786 California
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X A82786 California

Profile Details

NPI number 1750593844
LBN Legal business name Goldman, Jonathan Wade
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Nov 23rd, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1750593844 NPPES
California MEDICAID 1750593844
California Other A82786

Popular Providers