Goodwill Community Health Center Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

GOODWILL COMMUNITY HEALTH CENTER INC.

Practice address

2011 Beverly Blvd
Los Angeles, CA 90057-2403

Phone

(213) 413-4777

Fax

(213) 413-4778

NPI assigned

Nov 18, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Gor Muradyan

Title

Ceo

Phone

(213) 413-4777

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1295131209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572403",
            "telephone_number": "213-413-4777",
            "fax_number": "213-413-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572403",
            "telephone_number": "213-413-4777",
            "fax_number": "213-413-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL COMMUNITY HEALTH CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "MURADYAN",
        "authorized_official_first_name": "GOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-413-4777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susie Goodridge, P.T.
• Yvette Loretta Goodridge, NP
• Aurielle Lanae Goods
• Kaitlin Nicole Goods, PA-C
• Nichole Irene Goodsmith, MD, PHD
• Goodwill Medical Clinic, Inc.
• Brittney Goodwin
• Devin Goodwin
• Diamond Marie Goodwin, MD, MHS
• Jade Goodwin, LVN

• Multi-Specialty Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.