Individual
DANIEL FRED GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2211 BUSH ST, 2ND FLOOR, SAN FRANCISCO, CA 94115-3121
(415) 474-3333
(415) 474-3939
Mailing address
2211 BUSH ST, 2ND FLOOR, SAN FRANCISCO, CA 94115-3121
(415) 474-3333
(415) 474-3939
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G53124
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOG531242
—
CA
Enumeration date
01/08/2008
Last updated
01/20/2009
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