Organization Active NPI

Susan Goodlerner MD Inc

  • Dermatology Physician
  • Torrance, CA
National Provider Identifier
1487894457
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G44627 Issued in CA
Legal business name
SUSAN GOODLERNER MD INC
Practice address
23451 Madison St Ste 330
Torrance, CA 90505-4762
Phone
(310) 375-9994
NPI assigned
Mar 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Authorized official

Name
Susan Goodlerner, M.D.
Title
Owner
Phone
(310) 375-9994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X G44627 CA Primary

Addresses

Primary practice location

23451 Madison St Ste 330
Torrance, CA 90505-4762

Mailing address

23451 Madison St Ste 330
Torrance, CA 90505-4762
Phone (310) 375-9994

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1487894457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST STE 330",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054762",
            "telephone_number": "310-375-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST STE 330",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054762",
            "telephone_number": "310-375-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN GOODLERNER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "GOODLERNER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-375-9994",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G44627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.