Goddard, Marla Renee
Goddard, Marla Renee is an individual health care provider with primary practice located at 151 Kalmus Drive K3, Costa Mesa CA 92627. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Goddard, Marla Renee can be contacted via phone (714) 384-3870.Contact Information
Primary practice address
151 Kalmus Drive K3
Costa Mesa CA 92627
Phone: (714) 384-3870
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 396671 | California |
Profile Details
| NPI number | 1750626552 |
|---|---|
| LBN Legal business name | Goddard, Marla Renee |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2012 |
| Last updated | Dec 5th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750626552 | NPPES |
| California | Other | 1174607626 | 1174607626 |
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