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

Individual provider Independent Duty Corpsman · NPI 1639571359

Mr. Kevin Gooch, IDC is an Independent Duty Corpsman in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014
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Practice location Address checks out

4221 34th St Apt #25
San Diego, CA 92104-1400
Phone: (760) 365-7375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X (CA)

Record details

NPI number1639571359
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorYes
NPI enumeratedSeptember 24, 2014
Last updated in NPPESFebruary 8, 2017

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