Goya, Mark Takeshi

Goya, Mark Takeshi is an individual health care provider with primary practice located at 4502 E Avenue S , Palmdale CA 93552-4480. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Goya, Mark Takeshi can be contacted via phone (833) 574-2273.

Contact Information

Primary practice address
4502 E Avenue S Palmdale CA 93552-4480
Phone: (833) 574-2273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 52595 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 52595 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 52595 California

Profile Details

NPI number 1457733966
LBN Legal business name Goya, Mark Takeshi
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2015
Last updated Dec 3rd, 2021 - about 3 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.

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