Glenn I. Goldberg, D.o., a Professional Medical Corporation

NPI #1205051083 in Laguna Beach, California

Provider Information

NPI Number: 1205051083
Entity Type: Organization
Organization Name: Glenn I. Goldberg, D.o., a Professional Medical Corporation
Primary Specialty: Specialist
Enumeration Date: Apr 16, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 31852 COAST HWY
Address 2: SUITE 300
City: Laguna Beach
State: California
ZIP Code: 92651-6764
Phone: (949) 499-1389

Authorized Official

Name: GLENN I GOLDBERG, D.O.
Title: OWNER
Phone: (949) 499-1389

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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