Jeffrey L Goodale in Mission Viejo - Physician Assistant
Jeffrey L Goodale - NPI 1770514689
Jeffrey L Goodale is a Physician Assistant in Mission Viejo, California. Jeffrey L Goodale practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jeffrey L Goodale is 1770514689. The last update date is 2007-07-08.
Jeffrey L Goodale's current location address is 26922 Oso Pkwy, Mission Viejo, California. You can contact this provider via phone number 9495825430 and fax number 9493489513. The mailing address for Jeffrey L Goodale is 26922 Oso Pkwy, Mission Viejo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey L Goodale |
|---|---|
| Address | 26922 Oso Pkwy, Mission Viejo, California |
| Phone Number | 9495825430 |
| Fax Number | 9493489513 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1770514689 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 26922 Oso Pkwy |
|---|---|
| City | Mission Viejo |
| State | California (CA) |
| Post Code | 926915800 |
| Phone Number | 9495825430 |
| Fax Number | 9493489513 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA14333 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Where is the Jeffrey L Goodale located?
The Jeffrey L Goodale is located at 26922 Oso Pkwy, Mission Viejo, CA 926915800.
Could you please provide the complete physical location address of Jeffrey L Goodale?
The Jeffrey L Goodale is physically situated at 26922 Oso Pkwy, in the city of Mission Viejo, state of CA, with the postal code 926915800.
When was the Jeffrey L Goodale's 1770514689 issued?
The Jeffrey L Goodale's 1770514689 was issued on 2006-07-06.
On what date did the Centers for Medicare & Medicaid Services issue the 1770514689 to Jeffrey L Goodale?
The Jeffrey L Goodale received its 1770514689 assignment from the Centers for Medicare & Medicaid Services on 2006-07-06.
When was the Jeffrey L Goodale's information last updated?
The Jeffrey L Goodale's information was last updated on 2007-07-08.