| NPI | 1518300912 |
|---|---|
| Other Name | GOLDEN SHORE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | GLORIA CALDERON Vice President, Clinic Operations 626-346-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2018-02-07 |