Lawrence T. Goodwin, Jr., M.D., Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

C40581 Issued in CA

Legal business name

LAWRENCE T. GOODWIN, JR., M.D., INC

Practice address

8717 La Tijera Blvd
Los Angeles, CA 90045-3906

Phone

(310) 645-4393

Fax

(310) 645-3344

NPI assigned

Jan 15, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Veronica Carrillo

Title

Office Manager

Phone

(310) 674-2895

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence T Goodwin Jr., M.D.

  • Ophthalmology Physician
  • Torrance, CA
  • NPI 1750356754
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1194901587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8717 LA TIJERA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453906",
            "telephone_number": "310-645-4393",
            "fax_number": "310-645-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8717 LA TIJERA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453906",
            "telephone_number": "310-645-4393",
            "fax_number": "310-645-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE T. GOODWIN, JR., M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-674-2895"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C40581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C405811",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence a. Mora MD Inc
• Lawrence D. Dorr, M.D., Inc.
• Lawrence M. Lozada D.D.S. Professional Corporation
• Lawrence M. Richman, M.D. Apc
• Lawrence R Menendez M.D., a Medical Corporation
• Whitney Anne Lawrence-Redden, LCSW
• Chiyah A. Lawrence, PSY.D
• Daniel Lawrence
• David Lawrence, MD
• Ethan Lawrence

• Ophthalmology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.