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NPI Code Detail

MEDICARE: DR. ALAN MANUEL GOLDSTONE O.D.

MEDICARE:  DR. ALAN MANUEL GOLDSTONE  O.D.
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
1152W00000XOptometrist12297TCA

General Provider Information

NPI Number : 1649381641
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAN MANUEL GOLDSTONE O.D.
Provider Business Mailing Address
First Line : 2280 E CARSON ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-3044
Country : US
Telephone Number : 562-422-2020
Fax Number : 562-426-2214
Provider Business Practice Location Address
First Line : 2280 E CARSON ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-3044
Country : US
Telephone Number : 562-422-2020
Fax Number : 562-426-2214
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 07/09/2007

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Directions to “ DR. ALAN MANUEL GOLDSTONE O.D.” Practice Location

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