Individual
PROF. MICHAEL HENRY GOLDBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9415 CAMPUS POINT DR, LA JOLLA, CA 92037-1350
(858) 534-3516
(858) 534-7425
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C32010
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C320100
—
CA
01
—
180016079
RAILROAD
—
Enumeration date
11/07/2006
Last updated
06/08/2020
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