Goodlife Pain Center LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GOODLIFE PAIN CENTER LLC

Practice address

1300 S Pacific Coast Hwy Ste 201
Redondo Beach, CA 90277-5003

Phone

(310) 543-7779

Fax

(844) 386-5090

NPI assigned

Oct 26, 2023

Organization subpart

No

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

Authorized official

Name

Adam 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": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1629840228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S PACIFIC COAST HWY STE 201",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775003",
            "telephone_number": "310-543-7779",
            "fax_number": "844-386-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S PACIFIC COAST HWY STE 201",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775003",
            "telephone_number": "310-543-7779",
            "fax_number": "844-386-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLIFE PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "WEITZMAN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-543-7779",
        "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": []
}

• Crista Gonzalez, LEP
• Jose Merced Gonzalez
• Tim Gonzalez, CNIM
• Kelley Goo
• Goodlife Chiropractic
• Goodlife Physical Medicine Corp
• Jana Rosenbloom Goodstadt, MS CCC-SLP
• Deana R Gorka, M.A.
• Kimberly Whitney Gorskie Garcia, DOULA
• Mariana N. Gost, MA

• General Practice Physician in Redondo Beach, CA
• Providers in Redondo 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 Oct 26, 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.