| Thomas A. Goodheart M.d., Inc. | |
|
19582 Beach Blvd Ste 316 Huntington Beach CA 92648-5924 | |
| (714) 593-0272 | |
| (714) 593-6272 |
| Full Name | Thomas A. Goodheart M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 19582 Beach Blvd Ste 316, Huntington Beach, California |
| Authorized Official Name and Position | Thomas Armstrong Goodheart (OWNER/PHYSICIAN) |
| Authorized Official Contact | 7145930272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas A. Goodheart M.d., Inc. 19582 Beach Blvd Ste 316 Huntington Beach CA 92648-5924 Ph: (714) 593-0272 | Thomas A. Goodheart M.d., Inc. 19582 Beach Blvd Ste 316 Huntington Beach CA 92648-5924 Ph: (714) 593-0272 |
| NPI Number | 1922697754 |
|---|---|
| Provider Enumeration Date | 01/15/2021 |
| Last Update Date | 01/15/2021 |
| Medicare PECOS PAC ID | 6507271665 |
|---|---|
| Medicare Enrollment ID | O20210223001621 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922697754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Thomas A Goodheart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457461501 PECOS PAC ID: 7810945169 Enrollment ID: I20050104000573 |
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