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NPI Code Detail

MEDICARE: DAVID GOLDMAN

MEDICARE: DAVID GOLDMAN
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
1207L00000XAnesthesiology Physician20A17176CA

General Provider Information

NPI Number : 1649662131
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID GOLDMAN
Provider Business Mailing Address
First Line : PO BOX 49168
Second Line :
City : SAN JOSE
State : CA
Zip : 95161-9168
Country : US
Telephone Number : 800-516-5315
Fax Number : 517-787-7365
Provider Business Practice Location Address
First Line : 1555 SOQUEL DR
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95065-1705
Country : US
Telephone Number : 831-462-7700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2015
Last Update Date : 06/01/2026

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