Organization
GOLDEN STATE PROVIDERS, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SABA HABIS MD (AUTHORIZED OFFICIAL)
(805) 852-9100
Entity
Organization
Contact information
Practice address
865 PATRIOT DR STE 203, MOORPARK, CA 93021-3405
(805) 370-4684
(844) 748-4623
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
(615) 373-7600
(866) 346-1426
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/21/2014
Last updated
10/30/2020
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