Goggin, Samantha
Goggin, Samantha is an individual health care provider with primary practice located at 4060 Fairmount Ave Pediatrics Department, San Diego CA 92105-1608. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Goggin, Samantha can be contacted via phone (619) 255-9154.Contact Information
Primary practice address
4060 Fairmount Ave Pediatrics Department
San Diego CA 92105-1608
Phone: (619) 255-9154
Fax: (619) 795-9847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A163693 | California |
Profile Details
| NPI number | 1023506367 |
|---|---|
| LBN Legal business name | Goggin, Samantha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2018 |
| Last updated | Feb 1st, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023506367 | NPPES |
| Other | 132662 | AMERICAN BOARD OF PEDIATRICS |
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