Organization
STEVEN L GOLDBERG MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN LEE GOLDBERG MD (PRESIDENT)
(209) 948-2001
Entity
Organization
Contact information
Practice address
2216 N CALIFORNIA ST STE A, STOCKTON, CA 95204-5533
(209) 948-2001
(209) 948-2836
Mailing address
2216 N CALIFORNIA ST STE A, STOCKTON, CA 95204-5533
(209) 948-2001
(209) 948-2836
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G27045
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOG270450
—
CA
Enumeration date
07/05/2006
Last updated
02/22/2012
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