ELIZA GOLLUB N.P. NPI 1952743288

NPI Information

  • NPI: 1952743288
  • Provider Name: ELIZA GOLLUB, N.P.
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9725 WILSHIRE BLVD
    BEVERLY HILLS, CA
    ZIP 90212
  • Phone: (888) 663-6331

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NPI Details

Eliza Gollub, N.P. is an adult health nurse practitioner in Beverly Hills, CA. Eliza Gollub, N.P. NPI is 1952743288. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9725 WILSHIRE BLVD
BEVERLY HILLS, CA
ZIP 90212
Phone: (888) 663-6331
Fax: (415) 252-7176

The NPI 1952743288 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/29/2013 and was last updated on 3/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerNPP37773RHODE ISLANDNo
2363LA2200XNurse PractitionerAdult Health084009-23NEW HAMPSHIRENo
3363LA2200XNurse PractitionerAdult HealthRN2269752MASSACHUSETTSNo
4363LA2200XNurse PractitionerAdult Health95003022CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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