MEDICARE: SUNSHINE GOLSON LMFT

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
1	106H00000X	Marriage & Family Therapist	120260	CA

General Provider Information

NPI Number	:	1225844897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUNSHINE GOLSON LMFT

Provider Business Mailing Address
First Line	:	20352 KLINE DR
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-0227
Country	:	US
Telephone Number	:	714-723-8499
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 DOVE ST STE 260
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-3038
Country	:	US
Telephone Number	:	714-723-8499
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2024
Last Update Date	:	12/09/2024

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Directions to “ SUNSHINE GOLSON LMFT” Practice Location

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