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:
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Health care specialties

SpecialtyCodeLicense #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 18 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 1770588899 NPPES
California MEDICAID 00G659530
California Other 00G659530

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