Individual
DR. DENNIS A GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10820 N TORREY PINES RD, LA JOLLA, CA 92037-1036
(858) 554-3300
(858) 784-5933
Mailing address
54433 FILE, LOS ANGELES, CA 90074-0001
(858) 784-5767
(858) 784-5933
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C42299
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C422990
MEDI-CAL NUMBER
CA
Enumeration date
03/09/2006
Last updated
07/08/2007
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