Organization
SNF HOSPITALIST PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OTASHE NYOKU GOLDEN M.D. (MEDICAL DIRECTOR)
(209) 406-0541
Entity
Organization
Contact information
Practice address
1 EMBARCADERO CTR, SUITE 500, SAN FRANCISCO, CA 94111-3628
(415) 646-8936
(415) 433-5994
Mailing address
9098 LAGUNA MAIN ST, SUITE 6, ELK GROVE, CA 95758-7449
(916) 691-6780
(916) 691-6799
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A70035
CA
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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