# GOLDEN STATE SPORTS INJURY AND ORTHOPEDIC MEDICAL ASSOCIATES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GOLDEN STATE SPORTS INJURY AND ORTHOPEDIC MEDICAL ASSOCIATES, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124334107
- **Legal business name:** GOLDEN STATE SPORTS INJURY AND ORTHOPEDIC MEDICAL ASSOCIATES, INC.
- **Authorized official:** RONALD PERELMAN M.D. (OWNER)
- **Authorized official phone:** (818) 998-8400

## Contact information

- **Practice address:** 18531 ROSCOE BLVD STE 202, NORTHRIDGE, CA 91324-5950
- **Practice address phone:** (818) 998-8400
- **Mailing address:** 2980 N BEVERLY GLEN CIR, SUITE 100, LOS ANGELES, CA 90077-1726
- **Mailing address phone:** (310) 474-9809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 08/27/2010
- **Last updated:** 10/19/2015