Gottlieb, Monika A.
Gottlieb, Monika A. is an sole proprietor health care provider with primary practice located at 2671 Maple Ave , Morro Bay CA 93442-1725. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Gottlieb, Monika A. can be contacted via phone (805) 242-1141.Contact Information
Primary practice address
2671 Maple Ave
Morro Bay CA 93442-1725
Phone: (805) 242-1141
Fax: (805) 254-0408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00037805 | Washington |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | M10447 | Idaho |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD00037805 | Washington |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 166839 | California |
Profile Details
| NPI number | 1750333217 |
|---|---|
| LBN Legal business name | Gottlieb, Monika A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2006 |
| Last updated | Jun 5th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750333217 | NPPES |
| North Carolina | MEDICAID | 8453441 | |
| North Carolina | Other | P00351556 |
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