Dean Goodman in Santa Monica - Sports Physician
Dean Goodman - NPI 1700996014
Dean Goodman is a Sports Physician in Santa Monica, California. Dean Goodman practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Dean Goodman is 1700996014. The last update date is 2007-07-08.
Dean Goodman's current location address is 720 Wilshire Blvd, Santa Monica, California. You can contact this provider via phone number 3103955504 and fax number 3103930588. The mailing address for Dean Goodman is 720 Wilshire Blvd, Santa Monica, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dean Goodman |
|---|---|
| Address | 720 Wilshire Blvd, Santa Monica, California |
| Phone Number | 3103955504 |
| Fax Number | 3103930588 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1700996014 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 720 Wilshire Blvd |
|---|---|
| City | Santa Monica |
| State | California (CA) |
| Post Code | 904011745 |
| Phone Number | 3103955504 |
| Fax Number | 3103930588 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 14073 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Post Comment/ Review Below
What is the unique identifier code issued to Dean Goodman by the Centers for Medicare & Medicaid Services (CMS)?
The Dean Goodman has been assigned the NPI (National Provider Identifier) 1700996014. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Dean Goodman is geographically located?
The Dean Goodman is physically situated at the following location: 720 Wilshire Blvd, Santa Monica, CA, 904011745.
What is the Dean Goodman's specialty and taxonomy code?
The Dean Goodman's specialty is Sports Physician, and the corresponding taxonomy code is 111Ns0005X.
On what date did the Dean Goodman receive its 1700996014 assignment from the Centers for Medicare & Medicaid Services?
The Dean Goodman was assigned its 1700996014 by the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date were the details pertaining to Dean Goodman last refreshed?
The information related to the Dean Goodman, including its address, specialty, and other relevant details, was last updated on 2007-07-08.