| Doctor Name: | DR. SCOTT CRAIG GOODWIN |
| NPI Number: | 1144331703 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | G56437 |
| Business Practice Address: | 11301 Wilshire Blvd Los Angeles, CA - 900731003 |
| Business Phone Number: | 3102683478 |
| Business Fax Number: | 3102684973 |
| Mailing Address: | 18573 Doral Way, TARZANA |
| State: | CA |
| Postal Code: | 913565723 |
| Phone Number: | 8186098939 |
| Fax Number: | 8186098948 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | G56437 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |