Goldberg, Edward A
Goldberg, Edward A is an individual health care provider with primary practice located at 12264 El Camino Real Ste 303 , San Diego CA 92130. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Goldberg, Edward A can be contacted via phone (866) 393-9869.Contact Information
Primary practice address
12264 El Camino Real Ste 303
San Diego CA 92130
Phone: (866) 393-9869
Fax: (866) 393-9868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 35-090502 | Ohio |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2084P2900X | 35-090502 | Ohio |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | 35090502 | Ohio |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | A112854 | California |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 35090502 | Ohio |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 35090502 | Ohio |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | A112854 | California |
Profile Details
| NPI number | 1952580904 |
|---|---|
| LBN Legal business name | Goldberg, Edward A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2007 |
| Last updated | Jul 16th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952580904 | NPPES |
| California | Other | P02046317 | RR MEDICARE PTAN |
| California | Other | CB298481 | RR MEDICARE PTAN |
| California | MEDICAID | 2825269 | RR MEDICARE PTAN |
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