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Organization
GOODMAN CHIROPRACTIC PROFESSIONAL CORPORATION
Active
Organization
GOODMAN CHIROPRACTIC PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GERALDINE B. GOODMAN (CLINIC DIRECTOR)
(805) 495-2735
Entity
Organization
Contact information
Practice address
425 LOMBARD ST, THOUSAND OAKS, CA 91360-5898
(805) 495-2735
Mailing address
425 LOMBARD ST, THOUSAND OAKS, CA 91360-5898
(805) 495-2735
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/11/2007
Last updated
07/07/2014
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