# MICHAEL GODDARD L DPM INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912053992
- **Authorized official:** DR. MICHAEL GODDARD D.P.M. (PRESIDENT)
- **Authorized official phone:** (714) 542-0656

## Contact information

- **Practice address:** 1401 N. TUSTIN AVE, SUITE 130, SANTA ANA, CA 92705-8675
- **Practice address phone:** (714) 542-0656
- **Mailing address:** 1401 N. TUSTIN AVE, SUITE 130, SANTA ANA, CA 92705-8675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4398 | CA | Yes |

## Other

- **Enumeration date:** 01/25/2007
- **Last updated:** 06/21/2018