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Organization
GOLDEN WEST MEDICAL CENTER
Active
Organization
GOLDEN WEST MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY R JYSTAD MD (MD)
(714) 634-4884
Entity
Organization
Contact information
Practice address
915 E KATELLA AVE, 100, ANAHEIM, CA 92805-6616
(714) 634-4884
(714) 634-9259
Mailing address
915 E KATELLA AVE, 100, ANAHEIM, CA 92805-6616
(714) 634-4884
(714) 634-9259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/26/2007
Last updated
08/22/2020
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