Organization
GOLDEN STATE IMAGING ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VAUGHN (VICE PRESIDENT, PROVIDER ENROLLMENT)
(629) 317-1465
Entity
Organization
Contact information
Practice address
1401 ST JOSEPH PKWY, HOUSTON, TX 77002-8301
(888) 371-0667
Mailing address
PO BOX 85493, CHICAGO, IL 60689-5493
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101165063
—
CA
05
—
102165063
—
CA
05
—
103165063
—
CA
05
—
104165063
—
CA
Enumeration date
07/11/2019
Last updated
03/26/2026
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