Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Goodman, PA

Individual provider Physician Assistant · NPI 1134449564

Lisa Goodman, PA is a Physician Assistant in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

11760 San Vicente Blvd
Los Angeles, CA 90049-5010
Phone: (310) 400-6534
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 20043 (CA)

Record details

NPI number1134449564
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 8, 2010
Last updated in NPPESDecember 8, 2022
Certification dateDecember 8, 2022

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