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1366859449
GOLDEN STATE PROVIDERS, A MEDICAL CORPORATION
MOORPARK, CA
NPI
1366859449
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Entity Type
Organization
Authorized Contact
SABA HABIS
Authorized Official
805-852-9100
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2014-07-21
Last Update Date
2020-10-30
Business Address
GOLDEN STATE PROVIDERS, A MEDICAL CORPORATION
865 PATRIOT DR STE 203
MOORPARK, CA 93021-3405
Phone number: 805-370-4684
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Mailing Address
GOLDEN STATE PROVIDERS, A MEDICAL CORPORATION
2000 HEALTH PARK DR
BRENTWOOD, TN 37027-4525
Phone number: 615-373-7600
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