Provider Demographics
NPI:1417386053
Name:GOLOD, GREG (AUD)
Entity Type:Individual
Prefix:DR
First Name:GREG
Middle Name:
Last Name:GOLOD
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:386 E H ST STE 208
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-7486
Mailing Address - Country:US
Mailing Address - Phone:619-387-9598
Mailing Address - Fax:
Practice Address - Street 1:386 E H ST STE 208
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-7486
Practice Address - Country:US
Practice Address - Phone:619-387-9598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-04
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002501237600000X
CA3618237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter