Goodman, Randall

Goodman, Randall is an individual health care provider with primary practice located at 910 E Stowell Rd , Santa Maria CA 93454-7001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Goodman, Randall can be contacted via phone (805) 925-2637.

Contact Information

Primary practice address
910 E Stowell Rd Santa Maria CA 93454-7001
Phone: (805) 925-2637
Fax: (805) 347-0033
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A90496 California

Profile Details

NPI number 1891788436
LBN Legal business name Goodman, Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Jul 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891788436 NPPES
California Other P00289700 MEDICARE RAILROAD

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