Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | LM80 | CA |
NPI | 1053537423 |
---|---|
Provider Name | Goli Minagar |
First Address | Huntington Beach, CA 92647-7034 |
Second Address | Huntington Beach, CA 92647-7034 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 14/11/2011 |