Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Golden State Family Clinic

Organization Family Medicine Physician · NPI 1578345625

Golden State Family Clinic is a Family Medicine Physician in Los Angeles, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

4082 Whittier Blvd Ste 102
Los Angeles, CA 90023-2559
Phone: (323) 347-5757
Fax: (323) 264-2671
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1578345625
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Harold Tabaie — Ceo · (941) 720-0731
NPI enumeratedOctober 13, 2023
Last updated in NPPESOctober 13, 2023
Certification dateOctober 13, 2023
Mailing addressPo Box 18025, Anaheim, CA 92817-8025

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