Lynn J. Goodloe, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G44674 Issued in CA

Practice address

7230 Medical Center Dr Ste 302
West Hills, CA 91307-4032

Phone

(818) 518-5980

Fax

(818) 337-2049

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beverly Hills Wellness Physicians Corp

  • Allergy Physician
  • Long Beach, CA
  • NPI 1053705228

  Otolaryngic Allergy

  NPD (past)
• Pacific Rejuvenation Medical, a Professional Corp

  • General Practice Physician
  • West Hills, CA
  • NPI 1528348620

  General Practice

  NPD (past)
• Pacific Rejuvination Medical a Professional Corp

  • Clinic Pharmacy
  • Long Beach, CA
  • NPI 1700242419
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1881742674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR STE 302",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913074032",
            "telephone_number": "818-518-5980",
            "fax_number": "818-337-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR STE 302",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913074032",
            "telephone_number": "818-518-5980",
            "fax_number": "818-337-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODLOE",
        "first_name": "LYNN",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "CA",
            "license": "G44674",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G44674",
            "primary": true
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "CA",
            "license": "G44674",
            "primary": false
        },
        {
            "code": "2083T0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Medical Toxicology",
            "state": "CA",
            "license": "G44674",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G446740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Gomberg, M.ED, LMFT
• Christina Laudalina Gomes, ATC, SCS
• Caitlin Laurel Gomez, M.D.
• Olena Goncharenko, NP
• Felisha Gonzalez
• Mayumi S Gordon, L.AC.
• Marshall Michael Graditor, M.D.
• Mark D Graham, LMFT
• Benita Grauman, LCSW
• Natalya Ruben Grigoryan, MD

• All providers in West Hills, CA
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.