Healthcare Provider Details

I. General information

NPI: 1851017289
Provider Name (Legal Business Name): GOOD MEDICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2022
Last Update Date: 12/05/2022
Certification Date: 12/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4202 WHITSETT AVE APT 301
STUDIO CITY CA
91604-1699
US

IV. Provider business mailing address

4202 WHITSETT AVE APT 301
STUDIO CITY CA
91604-1699
US

V. Phone/Fax

Practice location:
  • Phone: 310-926-1022
  • Fax:
Mailing address:
  • Phone: 310-926-1022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DAREEN KHALAF
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 310-926-1022