Organization
LA MESA CARDIAC CENTER, A MEDICAL GROUP
Active
Organization
LA MESA CARDIAC CENTER, A MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD KEITH GOLDBERG M.D. (PARTNER PHYSICIAN)
(619) 462-9353
Entity
Organization
Contact information
Practice address
5565 GROSSMONT CENTER DR, BLDG. 3, SUITE 455, LA MESA, CA 91942-3020
(619) 462-9353
(619) 462-6935
Mailing address
5565 GROSSMONT CENTER DR, BLDG. 3, SUITE 455, LA MESA, CA 91942-3020
(619) 462-9353
(619) 462-6935
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Enumeration date
02/01/2007
Last updated
01/08/2013
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