{
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"OrgName": "SUSAN GOODLERNER MD INC",
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"FirstLineMailingAddress": "23451 MADISON ST STE 330",
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"MailingAddressCityName": "TORRANCE",
"MailingAddressStateName": "CA",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "23451 MADISON ST STE 330",
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"EnumerationDate": "03/03/2009",
"LastUpdateDate": "03/23/2009",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GOODLERNER",
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"AuthorizedOfficialCredential": "M.D.",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Dermatology Physician",
"LicenseNumber": "G44627",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}