Goldberg, Glenn I

Goldberg, Glenn I is an sole proprietor health care provider with primary practice located at 31852 Coast Hwy Suite 300, Laguna Beach CA 92651-6764. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Goldberg, Glenn I can be contacted via phone (949) 499-1389.

Contact Information

Primary practice address
31852 Coast Hwy Suite 300 Laguna Beach CA 92651-6764
Phone: (949) 499-1389
Fax: (949) 499-5689
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 20A5649 California
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 20A5649 California
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 20A5649 California
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 20A5649 California

Profile Details

NPI number 1760559116
LBN Legal business name Goldberg, Glenn I
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Feb 18th, 2022 - about 2 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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