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DR. RICHARD LYLE GOLDMAN MD

Gynecology >> Obstetrics & Gynecology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1558594994

Individual Registrant:
DR. RICHARD LYLE GOLDMAN MD
Gender: M
Sole Proprietor

Location and contact information for practice:
18892 PATRICIAN DR.  VILLA PARK, CA 92861 US
Tel: 714-532-1202  Fax: 714-532-1430

Contact information for business:
18892 PATRICIAN DR.  VILLA PARK, CA 92861 US
Tel: 714-532-1202  Fax: 714-532-1430

Registration Information:
NPI: 1558594994
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207VG0400XAllopathic & Osteopathic Physicians
Obstetrics & Gynecology
Gynecology
CAAFE 16964

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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