Individual
RANDALL GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
910 E STOWELL RD, SANTA MARIA, CA 93454-7001
(805) 925-2637
(805) 347-0033
Mailing address
910 E STOWELL RD, SANTA MARIA, CA 93454-7001
(805) 925-2637
(805) 347-0033
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A90496
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00289700
MEDICARE RAILROAD
CA
Enumeration date
08/30/2005
Last updated
07/29/2015
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