Organization
RONALD K GOLDBERG MD INC
Active
Parent organization
RONALD K GOLDBERG MD INC
Other names
RONALD K GOLDBERG MD INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RONALD K GOLDBERG MD INC
Authorized official
JENNIFER HANSEN (PRACTICE ADMINISTRATOR)
(619) 462-9353
Entity
Organization
Contact information
Practice address
5565 GROSSMONT CENTER DR STE 455, LA MESA, CA 91942-3073
(619) 462-9353
(619) 462-6935
Mailing address
5565 GROSSMONT CENTER DR STE 455, LA MESA, CA 91942-3073
(619) 462-9353
(619) 462-6935
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G65437
CA
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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