Individual
LAWRENCE T GOODWIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21840 NORMANDIE AVE, STE. 700, TORRANCE, CA 90502-2047
(310) 222-5101
(310) 320-5463
Mailing address
8717 LA TIJERA BLVD, STE. 700, LOS ANGELES, CA 90045-3906
(310) 645-4393
(310) 645-3344
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C40581
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C405810
—
CA
Enumeration date
02/22/2006
Last updated
12/21/2016
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