Goodman, Jesse

Goodman, Jesse is an individual health care provider with primary practice located at 17782 Cowan Ste A , Irvine CA 92614-6041. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Goodman, Jesse can be contacted via phone (949) 722-7118.

Contact Information

Primary practice address
17782 Cowan Ste A Irvine CA 92614-6041
Phone: (949) 722-7118
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95003286 California

Profile Details

NPI number 1609248202
LBN Legal business name Goodman, Jesse
Credentials AGNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2015
Last updated May 6th, 2020 - about 4 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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