Organization Active NPI

Holly Beth Goguen

  • Acupuncturist
  • Redondo Beach, CA
National Provider Identifier
1114225760
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC11826 Issued in CA
Legal business name
HOLLY BETH GOGUEN
Practice address
915 S Catalina Ave
Suite B
Redondo Beach, CA 90277-4795
Phone
(310) 543-2323
NPI assigned
Mar 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Holly Beth Goguen, L.AC.NPI 1326218116
Title
Owner
Phone
(415) 533-7023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC11826 CA Primary

Addresses

Primary practice location

915 S Catalina Ave
Suite B
Redondo Beach, CA 90277-4795

Mailing address

439 1/2 N Ogden Dr
Los Angeles, CA 90036-1748
Phone (323) 937-4099

Other names 1

  • Holly B Goguen Lac Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

915 S Catalina Ave
Ste B
Redondo Beach, CA 90277
Phone (310) 543-2323

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1114225760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 1/2 N OGDEN DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900361748",
            "telephone_number": "323-937-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 S CATALINA AVE",
            "address_2": "SUITE B",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902774795",
            "telephone_number": "310-543-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY BETH GOGUEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "GOGUEN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-533-7023",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holly B Goguen Lac Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.