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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) 720-0731
Entity
Organization
Contact information
Practice address
4082 WHITTIER BLVD STE 102, LOS ANGELES, CA 90023-2559
(323) 347-5757
(323) 264-2671
Mailing address
PO BOX 18025, ANAHEIM, CA 92817-8025
(941) 720-0731
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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