Organization
GOODLIFE PHYSICAL MEDICINE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM WEITZMAN (OWNER)
(310) 543-7779
Entity
Organization
Contact information
Practice address
1300 S PACIFIC COAST HWY STE 201, REDONDO BEACH, CA 90277-5003
(310) 543-7779
Mailing address
1300 S PACIFIC COAST HWY STE 201, REDONDO BEACH, CA 90277-5003
(310) 543-7779
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/22/2016
Last updated
02/13/2018
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