GOLDEN STATE OTOLARYNGOLOGY MEDICAL CORPORATION

LANCASTER, CA
NPI1568660611
Other NameGSOMC-BILLING
Entity TypeOrganization
Authorized ContactRUWANTHI S CAMPANO
President
661-726-6277
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: CA  A69121)
Enumeration Date2007-07-10
Last Update Date2008-02-11
Business Address
GOLDEN STATE OTOLARYNGOLOGY MEDICAL CORPORATION
44105 15TH ST W STE 202
LANCASTER, CA 93534-4090
Phone number: 661-726-6277
Mailing Address
GOLDEN STATE OTOLARYNGOLOGY MEDICAL CORPORATION
PO BOX 6558
LANCASTER, CA 93539-6558
Phone number: 661-726-6277