Goldenwest Medical Services, LLC

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

GOLDENWEST MEDICAL SERVICES, LLC

Practice address

25422 Trabuco Rd
Ste 105-622
Lake Forest, CA 92630-2791

Phone

(949) 583-0937

Fax

(949) 583-0939

NPI assigned

Jan 27, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Jeannie Agema

Title

Owner

Phone

(949) 583-0937

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1578869376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25422 TRABUCO RD",
            "address_2": "STE 105-622",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302791",
            "telephone_number": "949-583-0937",
            "fax_number": "949-583-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25422 TRABUCO RD",
            "address_2": "STE 105-622",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302791",
            "telephone_number": "949-583-0937",
            "fax_number": "949-583-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDENWEST MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "AGEMA",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-583-0937",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Glenn
• Robert H. Glover Jr., D.C.
• Tashura Glover
• Andrea Godinez
• Golden Coast Senior Living
• Angel Gomez
• Danielle Jane Gomez
• Kaitlan Elizabeth Gomez
• Leslie Gonzalez-Martinez
• Andrea Guadalupe Gonzalez, APCC

• Public Health & General Preventive Medicine Physician in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Public Health & General Preventive Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.