Gary Goodman
M.D. | Pediatric Critical Care Medicine | Male
Gary Goodman, M.D. is a Orange, California based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Gary Goodman is
455 S Main St, Orange, California - 92868-3835. He can be contacted on phone at
714-532-8620 and fax number 714-289-4072.
Gary Goodman is a sole proprietor of his business.
NPI number (Unique professional ID) for Gary Goodman is
1588758551 which was assigned by NPPES on 03 Oct, 2006 and it was last updated on 08 Jul, 2007.
Gary Goodman license number is
G45219 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in California.
Gary Goodman is 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 surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Gary Goodman basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Gary Goodman |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Gary Goodman address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 455 S Main St
Orange, CA, 92868-3835
United States |
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| Phone Number : | 714-532-8620 |
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| Fax Number : | 714-289-4072 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1588758551 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Oct, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gary Goodman are as mentioned. Primary taxonomy code for Gary Goodman, M.D. is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | G45219 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Gary Goodman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00G452190 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 455 S Main St
Orange, CA, 92868-3835
United States |
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| Phone Number : | 714-289-4511 |
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| Fax Number : | 714-289-4788 |
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Business Location:
Patients can refer following map for directions to
Gary Goodman practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.