| Casey A Goodman, Md, Inc | |
|
1814 Viola Pl Apt A Costa Mesa CA 92627-8614 | |
| (714) 261-6540 | |
| Not Available |
| Full Name | Casey A Goodman, Md, Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1814 Viola Pl Apt A, Costa Mesa, California |
| Authorized Official Name and Position | Casey Goodman (PRESIDENT) |
| Authorized Official Contact | 7142616540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casey A Goodman, Md, Inc 1814 Viola Pl Apt A Costa Mesa CA 92627-8614 Ph: (714) 261-6540 | Casey A Goodman, Md, Inc 1814 Viola Pl Apt A Costa Mesa CA 92627-8614 Ph: (714) 261-6540 |
| NPI Number | 1104753789 |
|---|---|
| Provider Enumeration Date | 05/06/2026 |
| Last Update Date | 05/06/2026 |
| Certification Date | 05/06/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104753789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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