DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. IRA LEE GOODMAN, MD

Active Sole Proprietor

Preventive Medicine · SAN DIEGO, CA

Registration Details

NPI Number
1942321930
Provider Type
Individual
Gender
Male
NPI Issued
Apr 3, 2007 (19.068076749925 yrs)
Last Updated
Oct 7, 2015
Licenses
11747 (AZ)
G40445 (CA)
Sole Proprietor
Yes

Practice Information

Address
4316 CORTE DE LA FONDA
SAN DIEGO, CA, 921302126
Browse CA providers · Browse ZIP 92130
Phone
6027413502
Fax
8886783543
Primary Specialty
Preventive Medicine
2083P0500X
Additional Specialty
Preventive Medicine

Other Preventive Medicine Providers in SAN DIEGO, CA

Name Credential NPI
DR. MARGARET RYAN MD, MPH 1619977618
KENICHI CARRIGAN MD 1659341089
DR. CHRISTINE MAURA SCHINDLER D.O. 1881663581
DR. PAULA A WEST M.D. 1447262795
DR. MARCEL BRYSK M.D. 1174625982
CAMILA XIMENA ROMERO M.D. 1508912130
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.