Individual
DR. ALAN E. GORENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8506 E CHAPMAN AVE, ORANGE, CA 92869-2461
(714) 633-4666
(714) 633-4640
Mailing address
12380 HESPERIA RD STE 2, VICTORVILLE, CA 92395-5814
(760) 243-4188
(760) 243-6888
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
G60876
CA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
G60876
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G608761
BLUE CROSS AND BLUE SHIELD
—
01
—
1730115221
NPI (INDIVIDUAL)
CA
01
—
1770514945
NPI (INCORPERATED)
CA
01
—
260035678
COMMERCIAL
—
01
—
G60876
MEDICAL LICENSE
CA
Enumeration date
06/25/2006
Last updated
10/14/2010
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