Good Life Medical Sys Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GOOD LIFE MEDICAL SYS INC

Practice address

1001 W 17TH St
Suite R
Costa Mesa, CA 92627-4512

Phone

(949) 515-3434

NPI assigned

Aug 24, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Richard S Cohen

Title

President

Phone

(949) 515-3434

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Good Life Medical Sys Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Good Life Medical Systems

  • Durable Medical Equipment & Medical Supplies
  • Costa Mesa, CA
  • NPI 1679050850
  NPD tax ID

Locations

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558354563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W 17TH ST",
            "address_2": "# R",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926274512",
            "telephone_number": "949-515-3434",
            "fax_number": "949-515-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W 17TH ST",
            "address_2": "SUITE R",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926274512",
            "telephone_number": "949-515-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE MEDICAL SYS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-515-3434",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03131F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nanette Gonzalez
• Nora Gonzalez, B.S
• Seth Ethan Gonzalez
• Vanessa Gonzalez
• Yarelly Jacqueline Gonzalez
• Good Life Medical Systems
• Susan Good
• Tram Goodall, PHARMD
• Raquel Tovar Goodwin I, M.A., IMFT
• Gooing Chiropractic Clinic Inc

• Durable Medical Equipment & Medical Supplies in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.