Individual
ALYSSA GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
2669 MYRTLE AVE STE 101, SIGNAL HILL, CA 90755-2746
(562) 595-6445
(562) 424-3122
Mailing address
2669 MYRTLE AVE STE 101, SIGNAL HILL, CA 90755-2746
(562) 595-6445
(562) 424-3122
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO006089
CA
224P00000X
Prosthetist
CPO04821
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GXC000190
MEDICAL
CA
Enumeration date
08/03/2020
Last updated
02/18/2022
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