GLENN I. GOLDBERG, D.O., A PROFESSIONAL MEDICAL CORPORATION
NPI 1205051083
Specialist in Laguna Beach, CA

Active since April 16, 2007
31852 COAST HWY, SUITE 300, LAGUNA BEACH, CA 92651(949) 499-1389(949) 499-5689 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 22, 2020, Jun 21, 2018 (2 updates tracked since 2018).

About Glenn I. Goldberg, D.o., A Professional Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENN I. GOLDBERG, D.O., A PROFESSIONAL MEDICAL CORPORATION (NPI 1205051083) is a healthcare organization registered as a specialist in Laguna Beach, California and active in the NPI registry since April 2007. The organization lists Glenn I Goldberg, Owner, as its authorized official.

NPPES Registry Identity

NPI1205051083
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGLENN I. GOLDBERG, D.O., A PROFESSIONAL MEDICAL CORPORATION
Location Address31852 COAST HWY, SUITE 300Laguna Beach, CA 92651-6764
Mailing Address31852 Coast Hwy, Suite 300Laguna Beach, CA 92651-6764 · (949) 499-1389 · Fax (494) 499-5689
Fax(949) 499-5689
Organization SubpartNo
Authorized OfficialGlenn I GoldbergOwner · (949) 499-1389
Enumeration DateApril 16, 2007
Last NPPES UpdateAugust 22, 20202 updates tracked since enumeration
NPI 1205051083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · 20A5649
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

31852 COAST HWY, Laguna Beach, CA 92651

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Infectious Disease)
31852 COAST HWY, STE 201
LAGUNA BEACH, CA 92651
Acupuncturist
31852 COAST HWY, STE 307
LAGUNA BEACH, CA 92651
Internal Medicine (Hematology & Oncology)
31852 COAST HWY, STE #305
LAGUNA BEACH, CA 92651
Podiatrist (Foot & Ankle Surgery)
31852 COAST HWY, SUITE 105
LAGUNA BEACH, CA 92651
Internal Medicine (Infectious Disease)
31852 COAST HWY, SUITE 301
LAGUNA BEACH, CA 92651
Obstetrics & Gynecology (Gynecology)
31852 COAST HWY, SUITE 203
LAGUNA BEACH, CA 92651
Clinic/Center (Primary Care)
31852 COAST HWY, 400
LAGUNA BEACH, CA 92651
Physiological Laboratory
31852 COAST HWY, SUITE 201
LAGUNA BEACH, CA 92651

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn I. Goldberg, D.O., A Professional Medical Corporation's NPI number?

The NPI number for Glenn I. Goldberg, D.O., A Professional Medical Corporation is 1205051083. It was assigned to this organization in the NPPES registry on April 16, 2007.

Where is Glenn I. Goldberg, D.O., A Professional Medical Corporation located?

Glenn I. Goldberg, D.O., A Professional Medical Corporation is located at 31852 Coast Hwy Suite 300, Laguna Beach, CA 92651. The listed phone number is (949) 499-1389.

What is Glenn I. Goldberg, D.O., A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Glenn I. Goldberg, D.O., A Professional Medical Corporation was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.