Individual
MISS BETH GOGUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
23659 CALABASAS RD, CALABASAS, CA 91302-1502
(818) 225-0122
Mailing address
23659 CALABASAS RD, CALABASAS, CA 91302-1502
(310) 728-5850
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
263449
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95020979
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275959454
BOARD OF REGISTERED NURSING
CA
Enumeration date
03/11/2014
Last updated
06/28/2022
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