Provider Demographics
NPI:1811998834
Name:GOLDMAN, LINDA (NP)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:GOLDMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:GOLDMAN-LEVINE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:16007 CRENSHAW BLVD
Mailing Address - Street 2:STUDENT HEALTH SERVICES
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90506-0001
Mailing Address - Country:US
Mailing Address - Phone:310-660-3643
Mailing Address - Fax:
Practice Address - Street 1:16007 CRENSHAW BLVD
Practice Address - Street 2:STUDENT HEALTH SERVICES
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90506-0001
Practice Address - Country:US
Practice Address - Phone:310-660-3643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA326401363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner