Goodman, Joel David
Goodman, Joel David is an individual health care provider with primary practice located at 1713 W Artesia Blvd. , Gardena CA 90248-3220. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Goodman, Joel David can be contacted via phone (310) 329-4128.Contact Information
Primary practice address
1713 W Artesia Blvd.
Gardena CA 90248-3220
Phone: (310) 329-4128
Fax: (310) 329-9180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT5677T | California |
Profile Details
| NPI number | 1386740447 |
|---|---|
| LBN Legal business name | Goodman, Joel David |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Aug 27th, 2012 - about 12 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 | 1386740447 | NPPES |
| California | MEDICAID | 5677 |
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