Mark Goodman
MD | Pediatrics | Male
Mark Goodman, MD is a Long Beach, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mark Goodman is
3200 Long Beach Blvd, Long Beach, California - 90807-5062. He can be contacted on phone at
562-933-2000 and fax number 562-494-7792.
Mark Goodman is a sole proprietor of his business.
NPI number (Unique professional ID) for Mark Goodman is
1629005780 which was assigned by NPPES on 26 Jun, 2006 and it was last updated on 12 Oct, 2007.
Mark Goodman license number is
A31080 for Pediatrics (208000000X) in California.
Mark Goodman is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mark Goodman basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mark Goodman |
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| Credential : | MD |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Mark 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 : | 3200 Long Beach Blvd
Long Beach, CA, 90807-5062
United States |
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| Phone Number : | 562-933-2000 |
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| Fax Number : | 562-494-7792 |
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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 : | 1629005780 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 Jun, 2006 |
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| Last Updated On : | 12 Oct, 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 Mark Goodman are as mentioned. Primary taxonomy code for Mark Goodman, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | A31080 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Mark Goodman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00A310800 | 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 : | 2360 Pacific Ave
Long Beach, CA, 90806-3051
United States |
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| Phone Number : | 562-981-6856 |
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| Fax Number : | 562-426-7792 |
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Business Location:
Patients can refer following map for directions to
Mark 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.