| Goli Khandan-alai, CRNA | |
|
18311 Thomas Cir, Huntington Beach, CA 92646-1552 | |
| (714) 721-2298 | |
| Not Available |
| Full Name | Goli Khandan-alai |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 18311 Thomas Cir, Huntington Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780700930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | NA3219 (California) | Primary |
| Entity Name | Credence Anesthesia Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881381002 PECOS PAC ID: 9133586639 Enrollment ID: O20230526001011 |
| Entity Name | Quality Medical Management Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114502606 PECOS PAC ID: 5799193074 Enrollment ID: O20240829003308 |
| Mailing Address | Practice Location Address |
|---|---|
| Goli Khandan-alai, CRNA 18311 Thomas Cir, Huntington Beach, CA 92646-1552 Ph: (714) 721-2298 | Goli Khandan-alai, CRNA 18311 Thomas Cir, Huntington Beach, CA 92646-1552 Ph: (714) 721-2298 |
Mr. Mark Jupiter Pahed, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18819 Delaware St, Huntington Beach, CA 92648 Phone: 714-500-0050 | |
Mrs. Bernadette Leilani Simon Flowe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 503 16th St, Huntington Beach, CA 92648 Phone: 805-850-9547 Fax: 714-465-2035 | |
Bridget Tracy, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7561 Quiet Cove Cir, Huntington Beach, CA 92648 Phone: 714-292-9297 |