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Contact Information

I S GOLDMAN, MD
400 N MOUNTAIN AVENUE
STE 310
UPLAND, CA91786
 Phone: 909-920-0876
 Fax: 909-982-0784
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for I S GOLDMAN · (Male)

NPI # 1194820423
Status Active
Credentials MD
Entity Individual
Enumeration date 09/13/2006
Last updated 02/08/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A42592
  • CA Other 125762100 DEPARTMENT OF LABOR IDENTIFICATION
  • CA Other 200005004 MEDICARE RAILROAD PIN
Hospital affiliation(s)
  • SAN ANTONIO COMMUNITY HOSPITAL - (Acute Care)
    999 SAN BERNARDINO RD
    UPLAND, CA 91786
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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