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Boruch Goldstein

Pediatrics in Paso Robles, CA. Individual provider (NPI-1).

NPI number1164041265
StatusActive
Last updated in NPPESSep 12, 2023

Details

NPI
1164041265
Entity type
Individual (NPI-1)
Name
Boruch Goldstein
Sex
Male
Sole proprietor
No
Enumeration date
Apr 9, 2020
Certification date
Sep 12, 2023
Last updated
Sep 12, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X PediatricsA186744CAYes

Practice location

2800 Riverside Ave
Paso Robles, CA 93446-1311

Phone 805-238-7250 · Fax 805-238-0165

Mailing address

2800 Riverside Ave Ste 101
Paso Robles, CA 93446-1312

Phone 805-238-7250

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