Individual
GOL ARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
320 PINE AVE STE 609, LONG BEACH, CA 90802-2310
(562) 246-6221
(562) 661-9672
Mailing address
320 PINE AVE STE 609, LONG BEACH, CA 90802-2310
(562) 246-6221
(562) 661-9672
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A182327
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/01/2018
Last updated
12/28/2023
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