Provider Demographics
NPI:1952691701
Name:RANEKOUHI, GOLI A (DC)
Entity Type:Individual
Prefix:MS
First Name:GOLI
Middle Name:A
Last Name:RANEKOUHI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30145 ANAMONTE
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-2354
Mailing Address - Country:US
Mailing Address - Phone:949-280-0551
Mailing Address - Fax:
Practice Address - Street 1:30145 ANAMONTE
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-2354
Practice Address - Country:US
Practice Address - Phone:949-280-0551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-13
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC31794111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor