GOLDEN STATE PROVIDERS, A MEDICAL CORPORATION

MOORPARK, CA
NPI1366859449
Entity TypeOrganization
Authorized ContactSABA HABIS
Authorized Official
805-852-9100
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2014-07-21
Last Update Date2020-10-30
Business Address
GOLDEN STATE PROVIDERS, A MEDICAL CORPORATION
865 PATRIOT DR STE 203
MOORPARK, CA 93021-3405
Phone number: 805-370-4684
Mailing Address
GOLDEN STATE PROVIDERS, A MEDICAL CORPORATION
2000 HEALTH PARK DR
BRENTWOOD, TN 37027-4525
Phone number: 615-373-7600