| Michael Edward Gold, M.d. | |
|
2021 Santa Monica Blvd Ste 525e Santa Monica CA 90404-2162 | |
| (310) 829-2126 | |
| (310) 998-8887 |
| Full Name | Michael Edward Gold, M.d. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2021 Santa Monica Blvd Ste 525e, Santa Monica, California |
| Authorized Official Name and Position | Michael E Gold (PHYSICIAN AND SURGEON) |
| Authorized Official Contact | 3108292126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Edward Gold, M.d. 2021 Santa Monica Blvd Ste 525e Santa Monica CA 90404-2162 Ph: (310) 829-2126 | Michael Edward Gold, M.d. 2021 Santa Monica Blvd Ste 525e Santa Monica CA 90404-2162 Ph: (310) 829-2126 |
| NPI Number | 1134864036 |
|---|---|
| Provider Enumeration Date | 05/04/2022 |
| Last Update Date | 05/09/2022 |
| Certification Date | 05/09/2022 |
| Medicare PECOS PAC ID | 7517345283 |
|---|---|
| Medicare Enrollment ID | O20220608002252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134864036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Michael E Gold |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750306155 PECOS PAC ID: 2961425210 Enrollment ID: I20060112000496 |
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