Individual
KAREN E GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1428 PHILLIPS LN, SUITE 201, SAN LUIS OBISPO, CA 93401-2537
(805) 548-8545
(805) 548-8548
Mailing address
1428 PHILLIPS LN, SUITE 201, SAN LUIS OBISPO, CA 93401-2537
(805) 548-8545
(805) 548-8548
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A82414
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A824140
—
CA
Enumeration date
09/20/2005
Last updated
04/15/2010
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