Golden Eagle

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

GOLDEN EAGLE

Practice address

14 Monarch Bay PLZ
Monarch Beach, CA 92629-3467

Phone

(949) 444-3966

NPI assigned

Mar 15, 2018

Organization subpart

No

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

Authorized official

Name

Adella Cordova

Title

Medical Biller

Phone

(623) 326-1055

Specialties & licenses 1

Addresses

Tax ID family

Golden Eagle2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ge Medical Services

  • Pain Medicine Physician
  • Beverly Hills, CA
  • NPI 1942461397
  NPD tax ID

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1861995987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MONARCH BAY PLZ",
            "city": "MONARCH BEACH",
            "state": "CA",
            "postal_code": "926293467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MONARCH BAY PLZ",
            "city": "MONARCH BEACH",
            "state": "CA",
            "postal_code": "926293467",
            "telephone_number": "949-444-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN EAGLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "ADELLA",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "623-326-1055"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Point Manor LLC
• Drselena
• Frankie D Scottcanova DC a Chiropractic Corporation
• Adeleh Hashemi
• Erin M Jenkins, DPT, ATC/L
• Natalie Newell Karlinsey, OD
• Laguna-Dana Urgent Care Inc
• Steven Andrew Margulies, DDS

• Pain Medicine Physician in Monarch Beach, CA
• Providers in Monarch Beach, CA by specialty
• Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.