Individual provider · Type 1 NPI

Mira Goodman

Specialist · South San Francisco, CA

NPI number 1093157141 Active

Practice location

1200 El Camino Real
South San Francisco, CA 94080-3208

Call (408) 506-8861 Map

Mailing address

66A Alvarado St
San Francisco, CA 94110-3013

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X13421 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1093157141

Mira Goodman's National Provider Identifier is 1093157141, issued on Jul 17, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in South San Francisco, CA. The record was last updated on Jul 17, 2013.