Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLENN I GOLDBERG, D.O.
Active Sole ProprietorDR. GLENN I GOLDBERG, D.O. is a Dermatology healthcare provider located in LAGUNA BEACH, California. NPI 1760559116 is currently active in the NPPES registry. Verify at CMS.
Dermatology · LAGUNA BEACH, CA
Registration Details
- NPI Number
- 1760559116
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 29, 2006 (19.745721923297 yrs)
- Last Updated
- Feb 18, 2022
- Licenses
-
20A5649 (CA)20A5649 (CA)20A5649 (CA)20A5649 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
31852 COAST HWYSUITE 300LAGUNA BEACH, CA, 926516764Browse CA providers · Browse ZIP 92651
- Phone
- 9494991389
- Fax
- 9494995689
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatopathology
- Additional Specialty
- Procedural Dermatology
- Additional Specialty
- Dermatology
Other Dermatology Providers in LAGUNA BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| WILLIAM PIKE | M.D. | 1861823486 |
| DR. DEVON MALECKI | MD | 1215584388 |
| DR. ANNIE LIU | MD | 1982319380 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.