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

Golden State Otolaryngology Medical

Organization Specialist · NPI 1518376011

Golden State Otolaryngology Medical is a Specialist in Palmdale, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014

Practice location Address checks out

41301 12th St W Ste A
Palmdale, CA 93551-1464
Phone: (661) 726-6277
Fax: (661) 726-6291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A69121 (CA)

Record details

NPI number1518376011
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruwanthi Campano — Ceo · (661) 726-6277
NPI enumeratedAugust 8, 2014
Last updated in NPPESAugust 8, 2014
Mailing address41301 12th St W, Suite A, Palmdale, CA 93551-1464

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