Laura Lee Ruby Goen (NPI# 1255823191, PAC ID# 9537499769) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1255823191 |
| PAC ID by PECOS | 9537499769 |
| Professional Enrollment ID | I20191001001127 |
| Full Name | Laura Lee Ruby Goen |
| Organization Legal Name | LA LASER CENTER PC A PROFESSIONAL MEDICAL CORPORATION |
| Address |
621 W Line St Suite 105 Bishop CA 93514-3320 |
| Phone Number | 7608738781 |
| Gender | F |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9537181185 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 621 W Line St, Suite 105, Bishop, CA 93514-3320 | 7608738781 | LA LASER CENTER PC A PROFESSIONAL MEDICAL CORPORATION |
| 3105 Mchenry Ave, Modesto, CA 95350-1439 | 2095752700 | LA LASER CENTER PC A PROFESSIONAL MEDICAL CORPORATION |
| Organization Legal Name | LA LASER CENTER PC A PROFESSIONAL MEDICAL CORPORATION |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Nadia Elhofy | Physician Assistant | La Laser Center PC A Professional Medical Corporation | 6181 N Thesta St, Suite 104, Fresno, CA 93710-8604 |
| Thomas Philip Yaw | Physician Assistant | La Laser Center PC A Professional Medical Corporation | 6145 W Chandler Blvd, 2 Chandler Dermatology and Skin Cancer, Chandler, AZ 85226-3434 |
| Dianna Smith | Nurse Practitioner | La Laser Center PC A Professional Medical Corporation | 10884 Santa Monica Blvd, Fl 3, Los Angeles, CA 90025-7638 |
| Ricardo Lionel Flippen | Physician Assistant | La Laser Center PC A Professional Medical Corporation | 215 E Caldwell Ave, Visalia Derm and Skin, Visalia, CA 93277-7605 |
| Damion David Rodeback | Physician Assistant | La Laser Center PC A Professional Medical Corporation | 25802 Hemingway Ave, Suite 105, Stevenson Ranch, CA 91381-2391 |
| Ferwa Syeda Manzer | Physician Assistant | La Laser Center PC A Professional Medical Corporation | 5600 California Ave, Bakersfield, CA 93309-1614 |
| Ajitpal S Dhillon | Physician Assistant | La Laser Center PC A Professional Medical Corporation | 400 N Irwin St, Hanford, CA 93230-4426 |
| Cheri Ponce | Physician Assistant | La Laser Center PC A Professional Medical Corporation | 621 W Line St, Suite 105, Bishop, CA 93514-3320 |
| James L Reith | Physician Assistant | La Laser Center PC A Professional Medical Corporation | 74320 Hwy 111, Suite 100, Palm Desert, CA 92260-4140 |
| Daniel P Taheri | Dermatology | La Laser Center PC A Professional Medical Corporation | 1200 N China Lake Blvd, Ridgecrest, CA 93555-2665 |
| Street Address |
621 W LINE ST SUITE 105 |
| City | BISHOP |
| State | CA |
| Zip | 93514-3320 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheri Ponce | Physician Assistant | La Laser Center PC A Professional Medical Corporation | 621 W Line St, Suite 105, Bishop, CA 93514-3320 |
| Todd Brooks | Physician Assistant | La Laser Center PC A Professional Medical Corporation | 621 W Line St, Suite 105, Bishop, CA 93514-3320 |
| Jesse Michael Perkins | Physician Assistant | La Laser Center PC A Professional Medical Corporation | 621 W Line St, Suite 105, Bishop, CA 93514-3320 |
| Jeffrey Drayer | Dermatology | La Laser Center PC A Professional Medical Corporation | 621 W Line St, Suite 105, Bishop, CA 93514-3320 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne Wakamiya | Internal Medicine | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Ryan Edward Berecky | Diagnostic Radiology | Landis, Kop, Carlevato, Loos and Shonnard, Ltd. | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Jon C Bowersox | General Surgery | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Carly Renee Harvey | Diagnostic Radiology | Landis, Kop, Carlevato, Loos and Shonnard, Ltd. | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Matthew J Wise | Obstetrics/gynecology | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Thomas Joseph Boo | Family Medicine | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Stephen James Loos | Diagnostic Radiology | Landis, Kop, Carlevato, Loos and Shonnard, Ltd. | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Allison J Robinson | General Surgery | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| David Nicklaus Landis | Diagnostic Radiology | Landis, Kop, Carlevato, Loos and Shonnard, Ltd. | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Uttama Sharma | Family Medicine | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Find all physicians in zip 93514 | |||
| City | BISHOP |
| Zip Code | 93514 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BISHOP + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Laura Lee Ruby Goen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.