Individual provider · Type 1 NPI

Carolyn Gayle Goble, PA-C

Surgical Physician Assistant · Santa Monica, CA

NPI number 1063777217 Active

Practice location

2020 Santa Monica Blvd, Suite 400
Santa Monica, CA 90404-2023

Call (310) 829-2663 Map

Fax (310) 315-2037

Mailing address

831 Idaho Ave
Santa Monica, CA 90403-2804

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X22319 (CA)
Surgical Physician Assistant Primary 363AS0400X22319 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1063777217

Carolyn Gayle Goble, PA-C's National Provider Identifier is 1063777217, issued on Jul 12, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Santa Monica, CA. The record was last updated on Jul 12, 2012.