Individual provider · Type 1 NPI
Ira Lee Goodman, MD
Preventive Medicine/Occupational Environmental Medicine Physician · San Diego, CA
Practice location
4316 Corte De La Fonda
San Diego, CA 92130-2126
Fax (888) 678-3543
Mailing address
8390 E Via De Ventura, Suite F-110
Scottsdale, AZ 85258-3188
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 11747 (AZ) |
| Preventive Medicine/Occupational Environmental Medicine Physician Primary | 2083P0500X | G40445 (CA) |
Preventive Medicine/Occupational Environmental Medicine Physician: A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
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About NPI 1942321930
Ira Lee Goodman, MD's National Provider Identifier is 1942321930, issued on Apr 3, 2007. The primary taxonomy on file is Preventive Medicine/Occupational Environmental Medicine Physician (2083P0500X), and the practice location is in San Diego, CA. The record was last updated on Oct 7, 2015.