MEDICARE: ROBERT GOLD MD,INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	G47614	CA
2	207R00000X	Internal Medicine Physician	G47614	CA
3	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	G47614	CA

General Provider Information

NPI Number	:	1164461083
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT GOLD MD,INC.

Provider Business Mailing Address
First Line	:	45 ERBES RD
Second Line	:
City	:	THOUSAND OAKS
State	:	CA
Zip	:	91362-5802
Country	:	US
Telephone Number	:	818-404-3200
Fax Number	:

Provider Business Practice Location Address
First Line	:	45 ERBES RD
Second Line	:
City	:	THOUSAND OAKS
State	:	CA
Zip	:	91362-5802
Country	:	US
Telephone Number	:	818-404-3200
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DOCTOR
Name	:	ROBERT A GOLD
Credential	:	MD
Telephone Number	:	818-404-3200

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	09/11/2025

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