| Goodlife Physical Medicine Corp | |
|
2365 Seal Beach Blvd Ste 101 Seal Beach CA 90740-5622 | |
| (310) 543-7779 | |
| (844) 314-9911 |
| Full Name | Goodlife Physical Medicine Corp |
|---|---|
| Speciality | General Practice |
| Location | 2365 Seal Beach Blvd Ste 101, Seal Beach, California |
| Authorized Official Name and Position | Adam M Weitzman (MANAGER) |
| Authorized Official Contact | 3105437779 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodlife Physical Medicine Corp 2365 Seal Beach Blvd Ste 101 Seal Beach CA 90740-5622 Ph: (310) 543-7779 | Goodlife Physical Medicine Corp 2365 Seal Beach Blvd Ste 101 Seal Beach CA 90740-5622 Ph: (310) 543-7779 |
| NPI Number | 1558057976 |
|---|---|
| Provider Enumeration Date | 04/18/2023 |
| Last Update Date | 04/18/2023 |
| Medicare PECOS PAC ID | 0446542922 |
|---|---|
| Medicare Enrollment ID | O20230907003124 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558057976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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