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

Dr. Glenn I Goldberg, DO

Individual provider MOHS-Micrographic Surgery Physician · NPI 1760559116

Dr. Glenn I Goldberg, DO is a Dermatology in Laguna Beach, California. Graduated from Philadelphia College of Osteopathic Medicine in 1982, 44 years ago. Practices with J Robert West MD Inc, a 138-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
44
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
CA
In the registry since
2006
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

31852 Coast Hwy Ste 300
Laguna Beach, CA 92651-6764
Phone: (949) 499-1389
Fax: (949) 499-5689
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 20A5649 (CA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 20A5649 (CA)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 20A5649 (CA)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 20A5649 (CA)

Record details

NPI number1760559116
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedNovember 29, 2006
Last updated in NPPESFebruary 18, 2022
Certification dateFebruary 18, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1982 (44 years in practice)
Group practice J Robert West Md Inc — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount