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1134449564
LISA GOODMAN
LOS ANGELES, CA
NPI
1134449564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 20043)
Enumeration Date
2010-06-08
Last Update Date
2022-12-08
Business Address
LISA GOODMAN PA
11760 SAN VICENTE BLVD
LOS ANGELES, CA 90049-5010
Phone number: 310-400-6534
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Mailing Address
LISA GOODMAN PA
11760 SAN VICENTE BLVD
LOS ANGELES, CA 90049-5010
Phone number: 310-424-8238
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