Individual
CONCHITA Y GOINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20927 NORWALK BLVD, LAKEWOOD, CA 90715-1545
(562) 809-1434
Mailing address
13381 SILVER BERRY CIR, CERRITOS, CA 90703-1374
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A41071
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A41071
LICENSE
CA
01
—
W13073
MEDICARE GROUP NUMBER
CA
Enumeration date
10/26/2007
Last updated
10/26/2007
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