Individual provider · Type 1 NPI

Carolyn Dawn Goodman, NP-C

Nurse Practitioner · Los Angeles, CA

NPI number 1235647728 Active

Practice location

11800 Wilshire Blvd
Los Angeles, CA 90025-6602

Fax (310) 582-7996

Mailing address

4140 W 190th St
Torrance, CA 90504-5513

Other practice locations

  • 18947 John J Williams Hwy Unit 101, Rehoboth Beach, DE 19971-4480 · (302) 645-3770
  • 424 Savannah Rd, Lewes, DE 19958-1462 · (302) 645-3770
  • 32750 Roxana Rd, Millville, DE 19967-6980 · (302) 645-3770
  • 1301 Sunset Dr Ste 3, Johnson City, TN 37604-7906 · (423) 588-7130

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XLG-0013783 (DE)
Family Nurse Practitioner 363LF0000XNPF95008234 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1235647728

Carolyn Dawn Goodman, NP-C's National Provider Identifier is 1235647728, issued on Jan 18, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 2, 2026.