Organization · Type 2 NPI

Golden State Otolaryngology Medical

Specialist · Ridgecrest, CA

NPI number 1174794408 Active

Practice location

301 Drummond Ave
Ridgecrest, CA 93555-3187

Fax (661) 726-6291

Mailing address

PO Box 6558
Lancaster, CA 93539-6558

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA69121 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1174794408

Golden State Otolaryngology Medical's National Provider Identifier is 1174794408, issued on Mar 14, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ridgecrest, CA. The record was last updated on Aug 12, 2014.