Goergen, Thomas G.
Goergen, Thomas G. is an individual health care provider with primary practice located at 488 E Valley Pkwy Suite 100, Escondido CA 92025-3363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Goergen, Thomas G. can be contacted via phone (760) 739-5400.Contact Information
Primary practice address
488 E Valley Pkwy Suite 100
Escondido CA 92025-3363
Phone: (760) 739-5400
Fax: (760) 739-8471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | C33209 | California |
Profile Details
| NPI number | 1144281528 |
|---|---|
| LBN Legal business name | Goergen, Thomas G. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Dec 19th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144281528 | NPPES |
| California | MEDICAID | 00C332090 |
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