Physician Compare National (NPI:1477567683)

HEALTHCARE PROVIDER: JORDAN HAROLD GOODSTEIN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1477567683
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8820175540
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080404000696
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GOODSTEIN
	Individual professional last name
Provider First Name	JORDAN
	Individual professional first name
Provider Middle Name	H
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1970
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3831 HUGHES AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 603
	Group Practice or individual's line 2 address
City	CULVER CITY
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	902326846
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3105598886
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y