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PAUL M. GOODMAN MD NPI 1700805124


NPI Information

NPI: 1700805124
Provider Name: PAUL M. GOODMAN, MD
Classification: Otolaryngology - 207Y00000X
Entity Type: Individual
Address:
4033 3RD AVE
SUITE 104
SAN DIEGO, CA
ZIP 92103
Phone: (619) 294-2350
Get Directions

Paul M. Goodman, MD is an otolaryngology in San Diego, CA. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. Paul M. Goodman, MD NPI is 1700805124. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4033 3RD AVE
SUITE 104
SAN DIEGO, CA
ZIP 92103-117
Phone: (619) 294-2350
Fax: (619) 296-5719

The enumeration date for this NPI number is 7/18/2006 and was last updated on 7/8/2007.


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
1207Y00000XOtolaryngologyG24856CALIFORNIAYes

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
100G248561MEDICAIDCALIFORNIA
2A42421MEDICARE UPIN
3G24856MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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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