Organization
GOLDEN STATE SPORTS INJURY AND ORTHOPEDIC MEDICAL ASSOCIATES, INC.
Active
Parent organization
GOLDEN STATE SPORTS INJURY AND ORTHOPEDIC MEDICAL ASSOCIATES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOLDEN STATE SPORTS INJURY AND ORTHOPEDIC MEDICAL ASSOCIATES, INC.
Authorized official
RONALD PERELMAN M.D. (OWNER)
(818) 998-8400
Entity
Organization
Contact information
Practice address
18531 ROSCOE BLVD STE 202, NORTHRIDGE, CA 91324-5950
(818) 998-8400
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 100, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
08/27/2010
Last updated
10/19/2015
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