Individual provider · Type 1 NPI

Ryo Mishka Goodman

Student in an Organized Health Care Education/Training Program · Irwindale, CA

NPI number 1235012550 Active

Practice location

13001 Ramona Blvd Ste I
Irwindale, CA 91706-3752

Call (626) 337-3828 Map

Mailing address

13001 Ramona Blvd Ste H&i
Irwindale, CA 91706-3752

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1235012550

Ryo Mishka Goodman's National Provider Identifier is 1235012550, issued on Jul 26, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Irwindale, CA. The record was last updated on Aug 5, 2025.