Individual
DR. DAVID GOODMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MED PLAZA SUITE 365, 420, 120, LOS ANGELES, CA 90095
(310) 206-7663
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A141304
CA
207RI0200X
Infectious Disease Physician
Primary
A141304
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2013
Last updated
08/01/2018
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