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Organization
GOODWILL MEDICAL CLINIC, INC.
Active
Organization
GOODWILL MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEIDI ANN WINKLER M.D, (PRESIDENT/MEDICAL DIRECTOR)
(213) 413-4777
Entity
Organization
Contact information
Practice address
2011 BEVERLY BLVD, LOS ANGELES, CA 90057-2403
(213) 412-4777
(213) 416-4478
Mailing address
2011 BEVERLY BLVD, LOS ANGELES, CA 90057-2403
(213) 412-4777
(213) 416-4478
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A50311
CA
2080A0000X
Pediatric Adolescent Medicine Physician
A50311
CA
Other
Enumeration date
04/12/2016
Last updated
05/16/2016
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