Goodman, Matthew Mortensen

Goodman, Matthew Mortensen is an sole proprietor health care provider with primary practice located at 180 Newport Center Dr Ste 158 , Newport Beach CA 92660-0934. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Goodman, Matthew Mortensen can be contacted via phone (949) 719-1800.

Contact Information

Primary practice address
180 Newport Center Dr Ste 158 Newport Beach CA 92660-0934
Phone: (949) 719-1800
Fax: (949) 719-1810
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X G53769 California
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G53769 California

Profile Details

NPI number 1679556633
LBN Legal business name Goodman, Matthew Mortensen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2005
Last updated Nov 13th, 2023 - about last year

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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