Goodlife Physical Medicine Corp
LBN: Goodlife Physical Medicine Corp
Goodlife Physical Medicine Corp is an health care organization with primary practice located at 2218 E Maple Ave , El Segundo CA 90245-6507. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / General Practice, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty.
Goodlife Physical Medicine Corp can be contacted via phone (310) 648-7290, or through Carry, Dave via phone (310) 543-7779.
Contact Information
Primary practice address
2218 E Maple Ave
El Segundo CA 90245-6507
Phone: (310) 648-7290
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | ||
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
NPI number | 1568818425 |
---|---|
LBN Legal business name | Goodlife Physical Medicine Corp |
DBA Doing business as | |
Authorized official | Carry, Dave Doctor of Chiropractic (DC) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 10th, 2016 |
Last updated | Jun 9th, 2017 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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