Goodlife Physical Medicine Corp

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GOODLIFE PHYSICAL MEDICINE CORP

Practice address

2365 Seal Beach Blvd Ste 101
Seal Beach, CA 90740-5622

Phone

(310) 543-7779

Fax

(844) 314-9911

NPI assigned

Apr 18, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Adam M Weitzman, MD

Title

Manager

Phone

(310) 543-7779

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1558057976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 SEAL BEACH BLVD STE 101",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907405622",
            "telephone_number": "310-543-7779",
            "fax_number": "844-314-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 SEAL BEACH BLVD STE 101",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907405622",
            "telephone_number": "310-543-7779",
            "fax_number": "844-314-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLIFE PHYSICAL MEDICINE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "WEITZMAN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-543-7779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Global Doctor of Physical Therapy Inc
• Glowaki Chiropractic
• Bradley Michael Glowaki, D.C.
• Jocelyn Kiyomi Gobert, DC
• Maria De la Caridad Gonzalez
• Sherrel Grabler, CMT, CR
• Pamela Margaret Graham, L.AC ,
• Kirat K Grewal, MD
• Rudolf Haider, MD
• David Keiki Mai Lani Louis Haley Sr., IDC

• General Practice Physician in Seal Beach, CA
• Providers in Seal Beach, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.