Vivian J Gold


Address: 3235 Kelton Ave, Los Angeles, CA 90034-3001
Phone: 3104700646

Vivian J Gold (NPI# 1215066972, PAC ID# 4183702236) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1215066972
PAC ID by PECOS 4183702236
Professional Enrollment ID I20080415000598
Full Name Vivian J Gold
Address 3235 Kelton Ave
Los Angeles
CA 90034-3001
Phone Number 3104700646
Gender F
Graduation Year 1972
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
3235 Kelton Ave, Los Angeles, CA 90034-3001 3104700646

Organization Information

Office Location

Street Address 3235 KELTON AVE
City LOS ANGELES
State CA
Zip 90034-3001

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Competitor

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City LOS ANGELES
Zip Code 90034
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty LOS ANGELES + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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