Provider Demographics
NPI:1669633640
Name:GOLDENHERSH, MARGARET J. JANE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET J.
Middle Name:JANE
Last Name:GOLDENHERSH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:17781 CAMINO DE YATASTO
Mailing Address - Street 2:
Mailing Address - City:PACIFIC PALISADES
Mailing Address - State:CA
Mailing Address - Zip Code:90272-2018
Mailing Address - Country:US
Mailing Address - Phone:310-962-7777
Mailing Address - Fax:310-454-6887
Practice Address - Street 1:17781 CAMINO DE YATASTO
Practice Address - Street 2:
Practice Address - City:PACIFIC PALISADES
Practice Address - State:CA
Practice Address - Zip Code:90272-2018
Practice Address - Country:US
Practice Address - Phone:310-962-7777
Practice Address - Fax:310-454-6887
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-22
Last Update Date:2008-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG53643207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology