Individual
DR. MICHAEL G GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3350 WILSHIRE BLVD STE 120, LOS ANGELES, CA 90010-1825
(213) 385-4607
(213) 385-4322
Mailing address
3350 WILSHIRE BLVD STE 120, LOS ANGELES, CA 90010-1825
(213) 385-4607
(213) 385-4322
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G20440
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G20440
MEDICAL CERTIFICATE
CA
Enumeration date
05/25/2007
Last updated
07/08/2007
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