Goodfaith Family Medical Clinic

Primary specialty

Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X

Legal business name

GOODFAITH FAMILY MEDICAL CLINIC

Practice address

7540 Garvey Ave Ste C
Rosemead, CA 91770-2960

Phone

(626) 307-4785

NPI assigned

Jul 8, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Tan Lin Wong, MD

Title

Vice President

Phone

(626) 307-4785

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jimmy Wu, M.D.

  • Internal Medicine Physician
  • Garden Grove, CA
  • NPI 1982647939
  NPD (past)

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1659534766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7540 GARVEY AVE STE C",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702960",
            "telephone_number": "626-307-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 GARVEY AVE STE C",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702960",
            "telephone_number": "626-307-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODFAITH FAMILY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "TAN",
        "authorized_official_middle_name": "LIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "626-307-4785",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Gonzales
• Claudeth Gonzalez Rodriguez
• Jose Marvin Gonzalez Sanchez
• Stephanie M Gonzalez
• Christopher Gooch, DPT
• Goodfaith Family Medical Group
• Green Acres Lodge LLC
• Green Cross Medical Surgical Inc
• Greenlife Wellness
• Tracy Greer, LVN

• Adolescent Medicine (Internal Medicine) Physician in Rosemead, CA
• Providers in Rosemead, CA by specialty
• Adolescent Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.