# GOLD CARE GOLDEN STATE MEDICAL

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

## Provider details

- **NPI number:** 1356929558
- **Authorized official:** BERNARD MCNAMARA MD (CEO)
- **Authorized official phone:** (818) 244-5444

## Contact information

- **Practice address:** 800 S CENTRAL AVE STE 302, GLENDALE, CA 91204-4388
- **Practice address phone:** (818) 332-2233
- **Practice address fax:** (818) 484-5422
- **Mailing address:** 800 S CENTRAL AVE STE 302, GLENDALE, CA 91204-4388
- **Mailing address phone:** (818) 332-2233
- **Mailing address fax:** (818) 484-5422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363LA2100X | Acute Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/30/2021
- **Last updated:** 09/26/2022