Individual
DR. MEGAN MARIE GOOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-8636
(714) 509-4373
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-8636
(714) 509-4373
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
50576
KY
208000000X
Pediatrics Physician
A156495
CA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
A156495
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100484820
—
KY
01
—
K120930
MEDICARE
KY
Enumeration date
03/22/2014
Last updated
09/08/2021
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