GOODLIFE PHYSICAL MEDICINE CORP NPI 1568818425

NPI Information

GOODLIFE PHYSICAL MEDICINE CORP is a general practice in El Segundo, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee GOODLIFE PHYSICAL MEDICINE CORP NPI is 1568818425. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2218 E MAPLE AVE
EL SEGUNDO, CA
ZIP 90245-507
Phone: (310) 648-7290

The provider's authorized official is Dave Carry .
The authorized official title is Manager and has the following contact phone number (310) 543-7779.

The enumeration date for this NPI number is 5/10/2016 and was last updated on 6/9/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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