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GOLDENWEST MEDICAL SERVICES LLC NPI 1578869376


NPI Information

NPI: 1578869376
Provider Name: GOLDENWEST MEDICAL SERVICES, LLC
Classification: Preventive Medicine - 2083P0901X
Entity Type: Organization

Specialization: Public Health & General Preventive Medicine

Address:
25422 TRABUCO RD
STE 105-622
LAKE FOREST, CA
ZIP 92630
Phone: (949) 583-0937
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GOLDENWEST MEDICAL SERVICES, LLC is a public health and general preventive medicine preventive medicine in Lake Forest, CA. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. GOLDENWEST MEDICAL SERVICES, LLC NPI is 1578869376. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

25422 TRABUCO RD
STE 105-622
LAKE FOREST, CA
ZIP 92630-791
Phone: (949) 583-0937
Fax: (949) 583-0939

The provider's authorized official is Jeannie Agema .
The authorized official title is Owner and has the following contact phone number (949) 583-0937.

The enumeration date for this NPI number is 1/27/2011 and was last updated on 1/27/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083P0901XPreventive MedicinePublic Health & General Preventive MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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