Individual
KEVIN GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
335 N MAGNOLIA AVE, ORLANDO, FL 32801-1667
(909) 243-2023
Mailing address
170 W DAYTON ST, APT 1014, PASADENA, CA 91105-4557
(909) 243-2023
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A147148
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2014
Last updated
07/21/2017
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