Individual
DR. GERALD S GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4100 GUARDIAN ST, SUITE 205, SIMI VALLEY, CA 93063-6717
(805) 577-2179
(805) 522-6401
Mailing address
1051 12TH ST APT 4, SANTA MONICA, CA 90403-4260
(310) 395-0087
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G29720N
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G29720
—
CA
Enumeration date
03/08/2006
Last updated
05/15/2008
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