Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN GOOCH, IDC
Active Sole ProprietorMR. KEVIN GOOCH, IDC is a Independent Duty Corpsman healthcare provider located in SAN DIEGO, California. NPI 1639571359 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · SAN DIEGO, CA
Registration Details
- NPI Number
- 1639571359
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 24, 2014 (11.877208498936 yrs)
- Last Updated
- Feb 8, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
4221 34TH STAPT #25SAN DIEGO, CA, 921041400Browse CA providers · Browse ZIP 92104
- Phone
- 7603657375
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Other Independent Duty Corpsman Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| MR. MARIO OSWALDO MARTIN | IDC | 1497726525 |
| MR. MICHAEL TAD GARRITSON | IDC | 1598736449 |
| EDWARD J BIGGS | IDC | 1790756641 |
| MR. ALLEN JAMES LAHEIST | IDC | 1871560284 |
| MARK L WILLIAMSON | IDC | 1699743534 |
| ARMANDO GONZALEZ | SFIDC | 1811964844 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.