Gooch, Megan Marie
Gooch, Megan Marie is an individual health care provider with primary practice located at 1201 W La Veta Ave , Orange CA 92868-4203. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is her primary health care specialty. Gooch, Megan Marie can be contacted via phone (714) 509-8636.Contact Information
Primary practice address
1201 W La Veta Ave
Orange CA 92868-4203
Phone: (714) 509-8636
Fax: (714) 509-4373
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A156495 | California |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 50576 | Kentucky |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | A156495 | California |
Profile Details
NPI number | 1184041634 |
---|---|
LBN Legal business name | Gooch, Megan Marie |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 22nd, 2014 |
Last updated | Sep 8th, 2021 - about 4 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 | 1184041634 | NPPES |
Kentucky | Other | K120930 | MEDICARE |
Kentucky | MEDICAID | 7100484820 | MEDICARE |
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