Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Larrese Gooden

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194462531

Larrese Gooden is a Student in an Organized Health Care Education/Training Program in Antioch, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

2335 Country Hills Dr
Antioch, CA 94509-7319
Phone: (925) 812-1269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1194462531
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 17, 2022
Last updated in NPPESMay 17, 2022
Certification dateMay 17, 2022
Mailing address2335 Country Hills Dr, Antioch, CA 94509-7319

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