# GOLDEN WEST MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Golden West Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750746947
- **Authorized official:** MR. ARCHIE TRINIDAD (MANAGER)
- **Authorized official phone:** (714) 634-4884

## Contact information

- **Practice address:** 1000 S ANAHEIM BLVD STE 102, ANAHEIM, CA 92805-5802
- **Practice address phone:** (714) 634-4884
- **Practice address fax:** (657) 220-5568
- **Mailing address:** 1000 S ANAHEIM BLVD STE 102, ANAHEIM, CA 92805-5802
- **Mailing address phone:** (714) 634-4884
- **Mailing address fax:** (657) 220-5568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 42656 | CA | Yes |

## Other

- **Enumeration date:** 12/15/2015
- **Last updated:** 12/15/2015