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

Mr. Justin Tyler Goodro

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770002297

Mr. Justin Tyler Goodro is a Student in an Organized Health Care Education/Training Program in Pomona, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

2008 N Garey Ave
Pomona, CA 91767-2722
Phone: (909) 242-7640
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CA)

Record details

NPI number1770002297
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 15, 2017
Last updated in NPPESJuly 21, 2022

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