Provider Demographics
NPI:1215058441
Name:GOLDSTEIN, IRWIN (MD)
Entity type:Individual
Prefix:
First Name:IRWIN
Middle Name:
Last Name:GOLDSTEIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5555 RESERVOIR DR
Mailing Address - Street 2:STE 300
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-5134
Mailing Address - Country:US
Mailing Address - Phone:619-265-8865
Mailing Address - Fax:619-265-7696
Practice Address - Street 1:5555 RESERVOIR DRIVE
Practice Address - Street 2:SUITE 300
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-5270
Practice Address - Country:US
Practice Address - Phone:619-987-7432
Practice Address - Fax:619-501-0717
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2013-07-02
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Provider Licenses
StateLicense IDTaxonomies
CAG41116208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology