MEDICARE: RON Y. GOLDSTEIN, 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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1841347044
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RON Y. GOLDSTEIN, INC.

Provider Business Mailing Address
First Line	:	902 N GRAND AVE
Second Line	:	SUITE 902
City	:	SANTA ANA
State	:	CA
Zip	:	92701-4218
Country	:	US
Telephone Number	:	714-564-8210
Fax Number	:	714-564-8306

Provider Business Practice Location Address
First Line	:	3000 W MACARTHUR BLVD STE 600
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92704-6982
Country	:	US
Telephone Number	:	714-564-8210
Fax Number	:	714-564-8306

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RON YARON GOLDSTEIN
Credential	:	M.D.
Telephone Number	:	714-564-8210

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	01/23/2020

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