Search › California › 1710I1002X
Kevin Gooch, IDC
NPI 1639571359 · on the registry since 2014 · sole proprietor
Practice
- Address
- 4221 34th St
Apt #25
San Diego, CA 92104 - Phone
- (760) 365-7375
Registry record
- Primary taxonomy
- 1710I1002X
1710I1002X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-02-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California