Provider Demographics
NPI:1215131719
Name:GOLDSTONE, JUDI (MD)
Entity type:Individual
Prefix:DR
First Name:JUDI
Middle Name:
Last Name:GOLDSTONE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23211 HAWTHORNE BLVD STE 200A
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-3769
Mailing Address - Country:US
Mailing Address - Phone:424-247-4962
Mailing Address - Fax:310-375-1120
Practice Address - Street 1:23211 HAWTHORNE BLVD STE 200A
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-3769
Practice Address - Country:US
Practice Address - Phone:424-247-4962
Practice Address - Fax:310-375-1120
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG42196207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine