GOLDMAN DUBOW MEDICAL GROUP (NPI# 1164643839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164643839 |
| Entity Type | Organization |
| Organization Name | GOLDMAN DUBOW MEDICAL GROUP |
| Practice Address |
8631 W 3rd St 635 East Los Angeles CA 90048-5901 |
| Practice Telephone | 3108551160 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PETER MICHAEL GOLDMAN (PARTNER) |
| Authorized Official Telephone | 3108551160 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians |
| Street Address |
8631 W 3RD ST 635 EAST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90048-5901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760481741 | Behnam David Massaband | Podiatrist | 8631 W 3rd St, Suite 940-e, Los Angeles, CA 90048-5901 | 2005-07-20 |
| 1073047155 | Drh Md Mph A Professional Medical Corporation | Specialist | 8631 W 3rd St, 1135e, Los Angeles, CA 90048-5917 | 2017-04-17 |
| 1083155592 | Colby Perkins Souders | Urology | 8631 W 3rd St, East Medical Office Tower, Suite 930, Los Angeles, CA 90048-5901 | 2017-03-16 |
| 1609326958 | Mls Audiology LLC | Audiologist | 8631 W 3rd St, Suite 312e, Los Angeles, CA 90048-5901 | 2016-10-11 |
| 1023565165 | Pegah Samouhi | Podiatrist | 8631 W 3rd St, Los Angeles, CA 90048-5901 | 2016-09-07 |
| 1669846556 | Tkmd Corp | Surgery | 8631 W 3rd St, Suite 200e, Los Angeles, CA 90048-5901 | 2015-11-16 |
| 1164893236 | Swaraj Bose, Md, Inc | Ophthalmology | 8631 W 3rd St, Suite 200e, Los Angeles, CA 90048-5901 | 2015-10-14 |
| 1821468125 | Ramin Youssefzadeh | Counselor | 8631 W 3rd St, 225e, Los Angeles, CA 90048-5901 | 2015-09-29 |
| 1679942817 | Stanley E. Kahan Md, PC | Internal Medicine | 8631 W 3rd St, Suite 735e, Los Angeles, CA 90048-5901 | 2015-09-17 |
| 1558737510 | Kapil Gupta Md A Professional Corporation | Clinic/Center | 8631 W 3rd St, #1015-e, Los Angeles, CA 90048-5901 | 2015-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578175006 | Lms Medical Services | Dermatology | 1118 N Mccadden Pl, Los Angeles, CA 90038-1213 | 2020-08-17 |
| 1023183258 | Leonard H Kim | Dermatology | 2080 Century Park E Ste 401, Los Angeles, CA 90067 | 2006-11-22 |
| 1740213198 | Irradiance Medical Group Inc | Dermatology | 420 E 3rd St Ste 805, Los Angeles, CA 90013-1646 | 2006-07-09 |
| 1245698752 | Skinstyle Dermatology, Inc. | Dermatology | 2990 S Sepulveda Blvd, Suite 300, Los Angeles, CA 90064-0002 | 2016-01-29 |
| 1083954226 | Rebecca Fitzgerald M.d., Inc. | Dermatology | 321 N Larchmont Blvd, Suite 906, Los Angeles, CA 90004-3025 | 2013-02-25 |
| 1497070510 | Jeanette Marie Black | Dermatology | 9201 W Sunset Blvd, Suite 602, Los Angeles, CA 90069-3701 | 2010-03-31 |
| 1659418721 | Leonard H Kim Md Medical Corp | Dermatology | 2080 Century Park E Ste 401, Los Angeles, CA 90067 | 2007-01-30 |
| 1992867758 | Harvey Abrams | Dermatology | 5757 Wilshire Blvd, Promenade 2, Los Angeles, CA 90036-5810 | 2006-12-15 |
| 1629174818 | Edgar Fincher Md, Incorporated | Dermatology | 100 Ucla Medical Plz, Suite 590, Los Angeles, CA 90024-6970 | 2006-09-15 |
| 1942305487 | Michelle H. Lee | Dermatology | 8631 W 3rd St, Suite 1035 East, Los Angeles, CA 90048-5901 | 2006-09-13 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90048 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.