# GOLDEN YEARS MEDICAL, INC.

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

## Provider details

- **NPI number:** 1720089584
- **Authorized official:** RONNIE NAIKER (CEO)
- **Authorized official phone:** (415) 453-6500

## Contact information

- **Practice address:** 625 DU BOIS ST, SUITE C, SAN RAFAEL, CA 94901-3944
- **Practice address phone:** (415) 453-6500
- **Practice address fax:** (415) 453-6505
- **Mailing address:** 625 DU BOIS ST, SUITE C, SAN RAFAEL, CA 94901-3944
- **Mailing address phone:** (415) 453-6500
- **Mailing address fax:** (415) 453-6505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 070592001 | CA | Yes |
| 332BC3200X | Customized Equipment (DME) | 8531 | CA | — |

## Other

- **Enumeration date:** 08/02/2005
- **Last updated:** 06/06/2012