Maritza Bollain Y Goytia

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

19160 Issued in CA

Practice address

8440 Santa Monica Blvd
West Hollywood, CA 90069-4254

Phone

(424) 322-0156

NPI assigned

Jun 18, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern California Medical Group

  • Occupational Medicine Physician
  • Los Angeles, CA
  • NPI 1548506504
  NPD (past)

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1659940286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 N SPAULDING AVE # 508 1/2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900361842",
            "telephone_number": "708-860-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694254",
            "telephone_number": "424-322-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLAIN Y GOYTIA",
        "first_name": "MARITZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Blair Bluen, LCSW
• Body Design and Rejuvenation Medical Center
• Karynne Boese
• Francesco Boin, M.D.
• Batbold Boldbaatar, MD, PHD
• Drew Bolster, MD
• David J. Bonda, MD
• Bondarev Chiropractic, Inc.
• Anatoly Bondarev, DC
• Saniya Bonde

• Acupuncturist in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.