| Michelle Faye Goodwin, MD | |
|
5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | |
| (619) 740-6000 | |
| Not Available |
| Full Name | Michelle Faye Goodwin |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 5555 Grossmont Center Dr, La Mesa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518546316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A194540 (California) | Primary |
| 2084A2900X | Psychiatry & Neurology - Neurocritical Care | A194540 (California) | Secondary |
| Entity Name | Regents Of The University Of Claifornia Univ Neursciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205884210 PECOS PAC ID: 2769476357 Enrollment ID: O20040414001576 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Faye Goodwin, MD 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 Ph: (619) 740-6000 | Michelle Faye Goodwin, MD 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 Ph: (619) 740-6000 |
Alborz Hassankhani, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5525 Grossmont Center Dr Ste 609, La Mesa, CA 91942 Phone: 619-668-0044 Fax: 619-245-2481 | |
Dr. Payam Afshar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8860 Center Dr Ste 420, La Mesa, CA 91942 Phone: 619-469-5400 Fax: 619-464-1311 | |
Paul Y Abou, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-465-0711 | |
Rosemary Ting Tu, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5565 Grossmont Center Dr, Bldg.#1, Suite#112, La Mesa, CA 91942 Phone: 619-469-5400 Fax: 619-464-1311 | |
Dr. Lloyd Stuart Kuritsky, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 8851 Center Dr, Suite 408, La Mesa, CA 91942 Phone: 619-589-8626 Fax: 619-589-8864 | |
Purushotham Kotha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8860 Center Dr, #400, La Mesa, CA 91942 Phone: 619-229-1995 | |
Dr. Leila Sofia Bolandgray, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-937-6349 Fax: 866-313-8916 |