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Search › California › 101YA0400X

Immagen Goodman

NPI 1841187739 · on the registry since 2025

Practice

Address
1133 Coloma Way Ste C
Roseville, CA 95661
Phone
(916) 774-6647
Organisation at this address
Aegis Treatment Centers, Llc
Aegis Treatment Centers, Llc
Nationwide Medical Group, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
153

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Sex
Female
Record last updated
2025-12-08

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