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NPI Code Detail

MEDICARE: GOLI MINAGAR LL.M.W

MEDICARE: GOLI MINAGAR LL.M.W
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
1176B00000XMidwifeLM80CA

General Provider Information

NPI Number : 1053537423
Entity Type Code : Individual
Provider Name (Legal Business Name) : GOLI MINAGAR LL.M.W
Provider Business Mailing Address
First Line : 8041 NEWMAN AVE
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92647-7034
Country : US
Telephone Number : 949-495-4255
Fax Number :
Provider Business Practice Location Address
First Line : 8041 NEWMAN AVE
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92647-7034
Country : US
Telephone Number : 949-495-4255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2007
Last Update Date : 11/14/2011

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