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NPI Code Detail

MEDICARE: DR. RITU GOEL M.D.

MEDICARE: DR. RITU GOEL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry Physician119405CA

General Provider Information

NPI Number : 1447577507
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RITU GOEL M.D.
Provider Business Mailing Address
First Line : 1171 BRYANT RD APT 409
Second Line :
City : LONG BEACH
State : CA
Zip : 90815-4331
Country : US
Telephone Number : 716-989-8818
Fax Number :
Provider Business Practice Location Address
First Line : 5150 E PACIFIC COAST HWY FL 2
Second Line :
City : LONG BEACH
State : CA
Zip : 90804-3399
Country : US
Telephone Number : 562-448-2222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2010
Last Update Date : 04/12/2024

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