Organization Active NPI

Dr. Ellen Goldstein Inc.

  • Reproductive Endocrinology Physician
  • Los Angeles, CA
National Provider Identifier
1124776208
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
DR. ELLEN GOLDSTEIN INC.
Practice address
10390 Santa Monica Blvd Ste 340
Los Angeles, CA 90025-6915
Phone
(858) 216-5402
NPI assigned
Mar 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ellen Goldstein, MDNPI 1447578604
Title
Ceo
Phone
(904) 635-4423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X Primary

Addresses

Primary practice location

10390 Santa Monica Blvd Ste 340
Los Angeles, CA 90025-6915

Mailing address

10390 Santa Monica Blvd Ste 340
Los Angeles, CA 90025-6915

National Provider Directory

National Provider Directory

Locations

10390 Santa Monica Blvd
Ste 340
Los Angeles, CA 90025
Phone (310) 855-3688

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1124776208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10390 SANTA MONICA BLVD STE 340",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10390 SANTA MONICA BLVD STE 340",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256915",
            "telephone_number": "858-216-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ELLEN GOLDSTEIN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-635-4423",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.