Provider Demographics
NPI:1063528321
Name:GOLDSOBEL, ALAN B (MD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:B
Last Name:GOLDSOBEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4050 MOORPARK AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95117-1840
Mailing Address - Country:US
Mailing Address - Phone:408-243-2700
Mailing Address - Fax:408-551-2394
Practice Address - Street 1:4050 MOORPARK AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95117-1840
Practice Address - Country:US
Practice Address - Phone:408-243-2700
Practice Address - Fax:408-551-2394
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG39891207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E92475Medicare UPIN