Goldberg, Albert Chester

Goldberg, Albert Chester is an individual health care provider with primary practice located at 750 Las Gallinas Ave Ste 210, San Rafael CA 94903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Goldberg, Albert Chester can be contacted via phone (415) 479-7244.

Contact Information

Primary practice address
750 Las Gallinas Ave Ste 210 San Rafael CA 94903
Phone: (415) 479-7244
Fax: (415) 479-8162
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G9946 California

Profile Details

NPI number 1518070952
LBN Legal business name Goldberg, Albert Chester
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518070952 NPPES
California MEDICAID 000AG99460

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