Goodwin, Thomas M
Goodwin, Thomas M is an individual health care provider with primary practice located at 1400 S Grand Ave Ste 805, Los Angeles CA 90015-3011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Goodwin, Thomas M can be contacted via phone (213) 763-1500.Contact Information
Primary practice address
1400 S Grand Ave Ste 805
Los Angeles CA 90015-3011
Phone: (213) 763-1500
Fax: (213) 763-1505
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | G65953 | California |
Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | G65953 | California |
Profile Details
NPI number | 1770588899 |
---|---|
LBN Legal business name | Goodwin, Thomas M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 15th, 2005 |
Last updated | Aug 22nd, 2007 - about 17 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 | 1770588899 | NPPES |
California | MEDICAID | 00G659530 | |
California | Other | 00G659530 |
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