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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | A69121 (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.