Goodman, Ira Lee
Goodman, Ira Lee is an sole proprietor health care provider with primary practice located at 4316 Corte De La Fonda , San Diego CA 92130-2126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, which is considered as his primary health care specialty. Goodman, Ira Lee can be contacted via phone (602) 741-3502.Contact Information
Primary practice address
4316 Corte De La Fonda
San Diego CA 92130-2126
Phone: (602) 741-3502
Fax: (888) 678-3543
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine | 2083P0500X | 11747 | Arizona |
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine | 2083P0500X | G40445 | California |
Profile Details
NPI number | 1942321930 |
---|---|
LBN Legal business name | Goodman, Ira Lee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 3rd, 2007 |
Last updated | Oct 7th, 2015 - about 9 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.
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