| NPI | 1982976692 |
|---|---|
| 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 | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2018-02-08 |