# GOLDEN GATE PERFUSION, INC.

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

## Provider details

- **NPI number:** 1902481765
- **Authorized official:** LAUREL MICHELLE CHAMBLESS CCP (CHIEF PERFUSIONIST)
- **Authorized official phone:** (415) 341-6260

## Contact information

- **Practice address:** 505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
- **Practice address phone:** (451) 353-1357
- **Mailing address:** 138 ELSIE ST, SAN FRANCISCO, CA 94110-5149
- **Mailing address phone:** (415) 566-6808
- **Mailing address fax:** (415) 551-1919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 242T00000X | Perfusionist | — | — | Yes |

## Other

- **Enumeration date:** 03/12/2021
- **Last updated:** 03/12/2021