# STARSHIP MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336733039
- **Authorized official:** EDDIE SANTIAGO (ADMINISTRATOR)
- **Authorized official phone:** (818) 610-9360

## Contact information

- **Practice address:** 1703 N AVALON BLVD, WILMINGTON, CA 90744-1432
- **Practice address phone:** (310) 233-9355
- **Mailing address:** 1703 N AVALON BLVD, WILMINGTON, CA 90744-1432
- **Mailing address phone:** (818) 518-5980

## Taxonomy

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

## Other

- **Enumeration date:** 02/23/2021
- **Last updated:** 05/19/2021