| Doctor Name: | KATHRYN DEENA GOODMAN |
| NPI Number: | 1013090398 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | RN # 312998 |
| Business Practice Address: | 6801 Coldwater Canyon Ave Valley Community Clinic North Hollywood, CA - 91605 |
| Business Phone Number: | 8183016320 |
| Business Fax Number: | 8187668352 |
| Mailing Address: | 1912 Topaz Ave, VENTURA |
| State: | CA |
| Postal Code: | 930043157 |
| Phone Number: | 9545367422 |
| Fax Number: | 8053235644 |
| NPI Enumeration Date: | 10/23/2006 |
| NPI Last Update Date: | 04/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SW0102X |
| License Number: | RN # 312998 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |