Provider Demographics
NPI:1699887752
Name:GOLDFARB-WAYSMAN, DALIA (MD)
Entity type:Individual
Prefix:DR
First Name:DALIA
Middle Name:
Last Name:GOLDFARB-WAYSMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:17352 W SUNSET BLVD
Mailing Address - Street 2:#605-D
Mailing Address - City:PACIFIC PALISADES
Mailing Address - State:CA
Mailing Address - Zip Code:90272-4120
Mailing Address - Country:US
Mailing Address - Phone:310-459-4920
Mailing Address - Fax:310-268-4433
Practice Address - Street 1:11301 WILSHIRE BLVD
Practice Address - Street 2:MAIL CODE 111G
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90073-1003
Practice Address - Country:US
Practice Address - Phone:310-478-3711
Practice Address - Fax:310-268-4433
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA43497207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology