Organization
GOLDEN STATE ADULT DAY HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DMITRY MARGUSOV D.C. (ADMINISTRATOR)
(415) 387-2750
Entity
Organization
Contact information
Practice address
738 LA PLAYA ST, SAN FRANCISCO, CA 94121-3262
(451) 387-2750
(415) 387-2712
Mailing address
738 LA PLAYA ST, SAN FRANCISCO, CA 94121-3262
(451) 387-2750
(415) 387-2712
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADU70287F
—
CA
Enumeration date
05/08/2007
Last updated
08/22/2020
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