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JEFFREY S. GOODMAN M.D. INC. NPI 1457530420


NPI Information

NPI: 1457530420
Provider Name: JEFFREY S. GOODMAN, M.D., INC.
Classification: Internal Medicine - 207RC0001X
Entity Type: Organization

Specialization: Clinical Cardiac Electrophysiology

Address:
8631 W 3RD ST
445E
LOS ANGELES, CA
ZIP 90048
Phone: (310) 659-4081
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JEFFREY S. GOODMAN, M.D., INC. is a clinical cardiac electrophysiology internal medicine in Los Angeles, CA. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. JEFFREY S. GOODMAN, M.D., INC. NPI is 1457530420. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

8631 W 3RD ST
445E
LOS ANGELES, CA
ZIP 90048-901
Phone: (310) 659-4081
Fax: (310) 289-7941

The provider's authorized official is Jeffrey Scott Goodman .
The authorized official title is Owner and has the following contact phone number (310) 659-4081.

The enumeration date for this NPI number is 10/26/2007 and was last updated on 6/15/2011.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantCALIFORNIANo
2207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W16063MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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