DR. Glenn I Goldberg, D.O.

NPI #1760559116 in Laguna Beach, California

Provider Information

NPI Number: 1760559116
Entity Type: Individual
Name: DR. Glenn I Goldberg, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dermatology
Credential: D.O.
Enumeration Date: Nov 29, 2006
Last Updated: Feb 18, 2022

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X
Dermatology - Dermatopathology — Dermatopathology	207ND0900X
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X
Dermatology	207N00000X	Primary

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