Doctor Name: | ISAAC GOODING |
NPI Number: | 1972585313 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 12671 |
Business Practice Address: | Box 555191 Naval Hospital Camp Pendleton, Attn: Anesthesiology Carlsbad, CA - 920555191 |
Business Phone Number: | 7607257684 |
Business Fax Number: | |
Mailing Address: | 6071 Paseo Pradera, CARLSBAD |
State: | CA |
Postal Code: | 920092241 |
Phone Number: | 8087801099 |
Fax Number: | |
NPI Enumeration Date: | 11/18/2005 |
NPI Last Update Date: | 10/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 12671 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |