Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glenn I. Goldberg, DO, a Professional Medical Corporation

Organization Specialist · NPI 1205051083

Glenn I. Goldberg, DO, a Professional Medical Corporation is a Specialist in Laguna Beach, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

31852 Coast Hwy Ste 300
Laguna Beach, CA 92651-6764
Phone: (949) 499-1389
Fax: (949) 499-5689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 20A5649 (CA)

Record details

NPI number1205051083
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glenn Goldberg — Owner · (949) 499-1389
NPI enumeratedApril 16, 2007
Last updated in NPPESAugust 22, 2020
Mailing address31852 Coast Hwy, Suite 300, Laguna Beach, CA 92651-6764

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