Active NPI
Holly Beth Goguen, L.AC.
- Acupuncturist
- Redondo Beach, CA
National Provider Identifier
1326218116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 11826
- Practice address
- 915 S Catalina Ave Ste B
Redondo Beach, CA 90277-4795 - Phone
- (310) 543-2323
- Fax
- (323) 857-1220
- NPI assigned
- Mar 7, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 11826 | CA | Primary |
Addresses
Primary practice location
915 S Catalina Ave Ste B
Redondo Beach, CA 90277-4795
Mailing address
439 1/2 N Ogden Dr
Los Angeles, CA 90036-1748
Phone (415) 533-7023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC 11826 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holly Beth Goguen | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248134400000",
"number": "1326218116",
"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": "415-533-7023",
"fax_number": "323-857-1220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 S CATALINA AVE STE B",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902774795",
"telephone_number": "310-543-2323",
"fax_number": "323-857-1220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOGUEN",
"first_name": "HOLLY",
"middle_name": "BETH",
"name_prefix": "Ms.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-07",
"last_updated": "2009-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 11826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.