Individual
DR. MANISHA GOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 E VALENCIA MESA DR, FULLERTON, CA 92835-3809
(714) 992-3969
Mailing address
101 E VALENCIA MESA DR, FULLERTON, CA 92835-3809
(714) 992-3969
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A100939
CA
208M00000X
Hospitalist Physician
Primary
A100939
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164608063
—
CA
01
—
P00718161
MEDICARE RR
CA
Enumeration date
01/10/2008
Last updated
01/26/2024
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