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Organization
GOLDEN STATE FAMILY CLINIC
Active
Organization
GOLDEN STATE FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD TABAIE DO (CEO)
(941) 290-0844
Entity
Organization
Contact information
Practice address
5475 E LA PALMA AVE STE 204, ANAHEIM, CA 92807-2075
(323) 264-2670
Mailing address
5475 E LA PALMA AVE STE 204, ANAHEIM, CA 92807-2075
(323) 264-2670
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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