Individual
DR. SCOTT RYAN GOLDSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
(314) 362-6959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2015004630
MO
207RH0000X
Hematology (Internal Medicine) Physician
Primary
A172328
CA
208M00000X
Hospitalist Physician
2015004630
MO
Other
Enumeration date
06/18/2013
Last updated
07/14/2021
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