Individual
ILIYA GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 E HIGHLAND AVE STE 351, SAN BERNARDINO, CA 92404-3830
(909) 475-8611
(909) 475-2566
Mailing address
401 E HIGHLAND AVE STE 351, SAN BERNARDINO, CA 92404-3830
(909) 475-8611
(909) 475-2566
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A170915
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2016
Last updated
10/07/2022
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