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Contact Information

NICOLE D GOODWIN, MD
25170 HANCOCK AVE STE 200
MURRIETA, CA92562
 Phone: 951-461-9300
 Fax: 951-461-9399
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for NICOLE D GOODWIN · (Female)

NPI Number 1356754667
Status Active
Credentials MD
Entity Individual
Enumeration date 06/04/2014
Last updated 06/13/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A150982
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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