Individual
BRIAN GOLDSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ABOC
Contact information
Practice address
17150 NEWHOPE ST STE 305, FOUNTAIN VALLEY, CA 92708-4251
(714) 545-1024
Mailing address
17150 NEWHOPE ST STE 305, FOUNTAIN VALLEY, CA 92708-4251
(714) 545-1024
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
186289
CA
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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