Individual
MR. DANIEL GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHRS
Contact information
Practice address
303 POTRERO ST, 42-103, SANTA CRUZ, CA 95060-2741
(831) 466-9307
(831) 466-9748
Mailing address
2120 N PACIFIC AVE SPC 27, SANTA CRUZ, CA 95060-2738
(831) 426-0633
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44AV
MEDI-CAL PRV NBR
CA
Enumeration date
04/17/2007
Last updated
04/23/2025
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