Dwight J. Goddard, M.D., Inc.

LBN: Dwight J. Goddard, M.D., Inc.
Dwight J. Goddard, M.D., Inc. is an health care organization with primary practice located at 9190 Haven Ave Ste 102 , Rancho Cucamonga CA 91730-5431. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Dwight J. Goddard, M.D., Inc. can be contacted via phone (909) 981-0989, or through Vela, Jacqueline via phone (909) 344-8934.

Contact Information

Primary practice address
9190 Haven Ave Ste 102 Rancho Cucamonga CA 91730-5431
Fax: (909) 948-9110
Website:
Authorized official contact:
Name: Vela, Jacqueline

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1518583004
LBN Legal business name Dwight J. Goddard, M.D., Inc.
DBA Doing business as
Authorized official Vela, Jacqueline
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2020
Last updated Sep 18th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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