Provider Demographics
NPI:1164290144
Name:GOOD KARMA MEDICAL LLC
Entity Type:Organization
Organization Name:GOOD KARMA MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:SAUNTRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:O'QUIN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:504-343-3655
Mailing Address - Street 1:330 OAK HARBOR BLVD STE B1032
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-5700
Mailing Address - Country:US
Mailing Address - Phone:504-343-3655
Mailing Address - Fax:
Practice Address - Street 1:330 OAK HARBOR BLVD STE B1032
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-5700
Practice Address - Country:US
Practice Address - Phone:504-343-3655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAUNTRICE O'QUIN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1427468503Medicaid