ELIZA GOLLUB (NPI# 1952743288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952743288 |
| Entity Type | Individual |
| Full Name | ELIZA GOLLUB |
| Credential | N.P. |
| Practice Address |
9725 Wilshire Blvd Beverly Hills CA 90212 |
| Mailing Address |
9725 Wilshire Blvd Beverly Hills CA 90212-2002 |
| Practice Telephone | (323) 305-7150 |
| Practice Fax Number | 3233057149 |
| Mailing Telephone | 3233057150 |
| Mailing Fax Number | 3233057149 |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2018-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | NPP37773 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
95003022 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9725 WILSHIRE BLVD |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386665271 | Tracey Brebner | Physician Assistant | 9725 Wilshire Blvd, Beverly Hills, CA 90212-2002 | 2006-07-23 |
| 1891233706 | Michael Tetsuya Miyazaki | Family Medicine | 9725 Wilshire Blvd, Beverly Hills, CA 90212-2002 | 2017-02-10 |
| 1790135770 | Shauna Marie Niemeier | Registered Nurse | 9725 Wilshire Blvd, Beverly Hills, CA 90212 | 2016-06-21 |
| 1881986149 | Richard Ted Lee | Internal Medicine | 9725 Wilshire Blvd, Beverly Hills, CA 90212-2002 | 2011-05-04 |
| 1689828113 | Aarti R Kulkarni | Family Medicine | 9725 Wilshire Blvd, Beverly Hills, CA 90212-2002 | 2008-11-11 |
| 1790803666 | Katherine Marie Boyer | Physician Assistant | 9725 Wilshire Blvd, Beverly Hills, CA 90212-2002 | 2007-03-27 |
| 1558375485 | Jacqueline E Yaris | Internal Medicine | 9725 Wilshire Blvd, Beverly Hills, CA 90212-2002 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535604 | Diego Bautista | Specialist/Technologist, Other | 324 S Beverly Drive #214, Beverely Hills, CA 90212 | 2019-02-26 |
| 1124582978 | California Surgery of Excellence, LLC | Clinic/Center | 269 S Beverly Dr Ste 809, Beverly Hills, CA 90212 | 2019-01-25 |
| 1356818132 | Kari Michelle Sacks | Social Worker | 300 South Beverly Drive, Beverly Hills, CA 90212 | 2018-10-30 |
| 1942782370 | Susan Elizabeth Smiley | Technician, Other | 160 S. Lasky Drive, Beverly Hills, CA 90212 | 2018-09-01 |
| 1417443714 | Sharona Asal Mossazadeh | Physician Assistant | 344 S Rodeo Dr, Beverly Hills, CA 90212 | 2018-07-10 |
| 1760983167 | Nina Rebecca Moradi | Marriage & Family Therapist | 420 S. Beverly Dr., Suite 100-19, Beverly Hills, CA 90212 | 2018-02-22 |
| 1376065946 | Rebecca Shelly Agi | Lactation Consultant, Non-RN | 350 South Reeves Dr., 201, Beverly Hills, CA 90212 | 2017-07-14 |
| 1952853582 | Dmarkis Randolph | Dietetic Technician, Registered | 269 S Beverly Drive, 1038, Beverly Hills, CA 90212 | 2016-10-31 |
| 1023560935 | Barrence Baytos | Kinesiotherapist | 260 S. Beverly Drive, Suite # 210, Beverly Hills, CA 90212 | 2016-10-26 |
| 1467810424 | Laura Fischer | Registered Nurse | 120 S Spalding Dr Ste 301, Beverly Hills, CA 90212 | 2016-02-05 |
| Find all providers in zip 90212 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912337726 | Swarooparani P Kumar | Nurse Practitioner | 3400 N Lecanto Hwy Ste A, Beverly Hills, FL 34465-3548 | 2013-11-14 |
| 1366767535 | Corina Perez Hernandez | Nurse Practitioner | 9090 Wilshire Blvd Fl 2, Beverly Hills, CA 90211-1888 | 2010-03-31 |
| 1831129873 | Nancy Louise Mckendrick | Nurse Practitioner | 17234 Buckingham Ave, Beverly Hills, MI 48025-3206 | 2006-07-04 |
| 1962015974 | Jocelyn Kimberly Vieira | Nurse Practitioner | 32804 Pierce St, Beverly Hills, MI 48025-3215 | 2020-08-28 |
| 1134698731 | Jessica Ramsay | Nurse Practitioner | 99 N La Cienega Blvd Ste M102, Beverly Hills, CA 90211-2288 | 2018-11-13 |
| 1245789189 | Harold Cruz Sarmiento | Nurse Practitioner | 99 N La Cienega Blvd Ste 200, Beverly Hills, CA 90211-2285 | 2016-10-03 |
| 1538565957 | Carrie Lynn Gessler | Nurse Practitioner | 9735 Wilshire Blvd, Penthouse Suite, Beverly Hills, CA 90212-2107 | 2014-11-12 |
| 1275889081 | Esther Yoon | Nurse Practitioner | 200 N Robertson Blvd, Beverly Hills, CA 90211-1769 | 2012-07-30 |
| 1609086719 | Luz Angela Hernandez-garrido | Nurse Practitioner | 9090 Wilshire Blvd Ste 200, Beverly Hills, CA 90211-1850 | 2007-05-23 |
| 1427068204 | Donna Jean Miller | Nurse Practitioner | 9033 Wilshire Blvd Ste 406, Beverly Hills, CA 90211-1847 | 2006-08-08 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90212 |
Please comment or provide details below to improve the information on ELIZA GOLLUB.
| 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.