Mytien Goldberg MD PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A80676 Issued in CA

Legal business name

MYTIEN GOLDBERG MD PC

Practice address

2808 Columbia St
Torrance, CA 90503-3808

Phone

(310) 618-9922

Fax

(310) 933-0978

NPI assigned

Oct 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mytien Thi Goldberg, M.D.

Title

President

Phone

(310) 618-9922

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1144530007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 COLUMBIA ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905033808",
            "telephone_number": "310-618-9922",
            "fax_number": "310-933-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 COLUMBIA ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905033808",
            "telephone_number": "310-618-9922",
            "fax_number": "310-933-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYTIEN GOLDBERG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "MYTIEN",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-618-9922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A80676",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "A80676",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL PROVIDER NPI NUMBER",
            "identifier": "1376707711",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Mylar, N.P.
• Alexis Katherine Myres, SLP
• Myt Home Health Care, Inc
• Myt Home Health Care, Inc
• Myt Home Health Care, LLC
• N.L.Quizon, D.D.S. and a.L.Quizon,D.D.S., Inc
• Nosrat Allah Nabavi, M.D.
• Nabex Solutions LLC
• Emily Nadal, SLP
• Nagamani Paturu Nadella, M.D.

• Plastic Surgery Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.