Gary Goodman in Orange - Pediatric Critical Care Medicine
Gary Goodman - NPI 1588758551
Gary Goodman is a Pediatric Critical Care Medicine in Orange, California. Gary Goodman practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Gary Goodman is 1588758551. The last update date is 2007-07-08.
Gary Goodman's current location address is 455 S Main St, Orange, California. You can contact this provider via phone number 7145328620 and fax number 7142894072. The mailing address for Gary Goodman is 455 S Main St, Orange, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gary Goodman |
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Address | 455 S Main St, Orange, California |
Phone Number | 7145328620 |
Fax Number | 7142894072 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1588758551 |
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Provider Enumeration Date | 2006-10-03 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 455 S Main St |
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City | Orange |
State | California (CA) |
Post Code | 928683835 |
Phone Number | 7145328620 |
Fax Number | 7142894072 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Critical Care Medicine |
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Taxonomy | 2080P0203X |
Licence No | G45219 |
Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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00G452190 | CA | -- |
Post Comment/ Review Below
What is the Gary Goodman's unique identification number?
The Gary Goodman has been assigned the NPI (National Provider Identifier) Number 1588758551 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Gary Goodman?
The Gary Goodman is physically situated at 455 S Main St, in the city of Orange, state of CA, with the postal code 928683835.
What is Gary Goodman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gary Goodman's area of specialization is Pediatric Critical Care Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2080P0203X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1588758551 to Gary Goodman?
The Centers for Medicare & Medicaid Services originally issued the 1588758551 to Gary Goodman on 2006-10-03.
When was the information pertaining to Gary Goodman most recently updated or revised?
The details related to Gary Goodman, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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