Individual
CAROLYN DAWN GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
11800 WILSHIRE BLVD, LOS ANGELES, CA 90025-6602
(310) 582-7900
(310) 582-7996
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 582-7900
(310) 582-7996
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LG-0013783
DE
363LF0000X
Family Nurse Practitioner
NPF95008234
CA
Other
Enumeration date
01/18/2018
Last updated
04/20/2026
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