Provider Demographics
NPI:1417401555
Name:GOUGHER, ARACELI DALANGIN (MBA)
Entity Type:Individual
Prefix:
First Name:ARACELI
Middle Name:DALANGIN
Last Name:GOUGHER
Suffix:
Gender:F
Credentials:MBA
Other - Prefix:
Other - First Name:ARACELI
Other - Middle Name:BARLAN
Other - Last Name:DALANGIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20503 BERENDO AVE
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-1506
Mailing Address - Country:US
Mailing Address - Phone:310-707-3071
Mailing Address - Fax:
Practice Address - Street 1:20503 BERENDO AVE
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-1506
Practice Address - Country:US
Practice Address - Phone:310-707-3071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-05
Last Update Date:2016-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other