Organization · Type 2 NPI
Golden State Providers, A Medical Corporation
Multi-Specialty Clinic/Center · Moorpark, CA
NPI number
1366859449
Active
Practice location
865 Patriot Dr Ste 203
Moorpark, CA 93021-3405
Fax (844) 748-4623
Mailing address
2000 Health Park Dr
Brentwood, TN 37027-4525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
About NPI 1366859449
Golden State Providers, A Medical Corporation's National Provider Identifier is 1366859449, issued on Jul 21, 2014. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Moorpark, CA. The record was last updated on Oct 30, 2020.