IndividualActive
Ira Goodman, MD
NPI 1942321930 · Preventive Medicine/Occupational Environmental Medicine Physician · San Diego, CA
Provider details
- NPI number
- 1942321930
- Entity type
- Individual
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 11747 (AZ)
Practice location
4316 Corte De La Fonda
San Diego, CA 92130-2126
Phone: (602) 741-3502
Fax: (888) 678-3543
Mailing address
8390 E Via De Ventura
Scottsdale, AZ 85258-3188
Registry dates
- Enumerated
- 2007-04-03
- Last updated
- 2015-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.