Golden State Providers, a Medical Corporation
Golden State Providers, a Medical Corporation is a Multi-Specialty Clinic/Center in Moorpark, California. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
865 Patriot Dr Ste 203Moorpark, CA 93021-3405
Phone: (805) 370-4684
Fax: (844) 748-4623
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|
Record details
| NPI number | 1366859449 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Saba Habis — Authorized Official · (805) 852-9100 |
| NPI enumerated | July 21, 2014 |
| Last updated in NPPES | October 30, 2020 |
| Certification date | October 30, 2020 |
| Mailing address | 2000 Health Park Dr, Brentwood, TN 37027-4525 |