Goldstein, Gerald S

Goldstein, Gerald S is an individual health care provider with primary practice located at 4100 Guardian St Suite 205, Simi Valley CA 93063-6717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Goldstein, Gerald S can be contacted via phone (805) 577-2179.

Contact Information

Primary practice address
4100 Guardian St Suite 205 Simi Valley CA 93063-6717
Phone: (805) 577-2179
Fax: (805) 522-6401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G29720N California

Profile Details

NPI number 1760459754
LBN Legal business name Goldstein, Gerald S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated May 15th, 2008 - 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 1760459754 NPPES
California MEDICAID 00G29720

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