Provider Demographics
NPI:1093124968
Name:YASEMIN GOLAN LLC
Entity Type:Organization
Organization Name:YASEMIN GOLAN LLC
Other - Org Name:ACADIAN KIDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YASEMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-363-3061
Mailing Address - Street 1:1014 TOM DRIVE
Mailing Address - Street 2:
Mailing Address - City:VILLE PLATTE
Mailing Address - State:LA
Mailing Address - Zip Code:70586-2709
Mailing Address - Country:US
Mailing Address - Phone:337-363-3061
Mailing Address - Fax:337-363-3063
Practice Address - Street 1:1014 TOM DRIVE
Practice Address - Street 2:
Practice Address - City:VILLE PLATTE
Practice Address - State:LA
Practice Address - Zip Code:70586-2709
Practice Address - Country:US
Practice Address - Phone:337-363-3061
Practice Address - Fax:337-363-3063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-05
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty