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Organization
GOLDEN STATE HEALTH CARE INC.
Active
Organization
GOLDEN STATE HEALTH CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOHANNES GEBREEGZIABHER MD (PARTNER)
(209) 575-4575
Entity
Organization
Contact information
Practice address
3150 G ST, STE C, MERCED, CA 95340-1346
(209) 233-9364
(209) 233-9621
Mailing address
PO BOX 4978, MODESTO, CA 95352-4978
(209) 575-4575
(209) 575-4598
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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