Organization
GLENN I. GOLDBERG, D.O., A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN I GOLDBERG D.O. (OWNER)
(949) 499-1389
Entity
Organization
Contact information
Practice address
31852 COAST HWY, SUITE 300, LAGUNA BEACH, CA 92651-6764
(949) 499-1389
(949) 499-5689
Mailing address
31852 COAST HWY, SUITE 300, LAGUNA BEACH, CA 92651-6764
(949) 499-1389
(494) 499-5689
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20A5649
CA
Other
Enumeration date
04/16/2007
Last updated
08/22/2020
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