Provider Demographics
NPI:1588769764
Name:GOLDSHTEIN, GRETA (PHARMD, APH)
Entity type:Individual
Prefix:DR
First Name:GRETA
Middle Name:
Last Name:GOLDSHTEIN
Suffix:
Gender:F
Credentials:PHARMD, APH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9821 W PICO BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-4712
Mailing Address - Country:US
Mailing Address - Phone:310-277-6266
Mailing Address - Fax:
Practice Address - Street 1:23693B CALABASAS RD
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1502
Practice Address - Country:US
Practice Address - Phone:818-403-3072
Practice Address - Fax:818-356-8804
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49705183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist