Organization
GOLDEN STATE DIAGNOSTIC INC
Active
Other names
SUNNYVALE IMAGING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRI A PEREZ (CONTRACT PERSONNEL)
(209) 261-7905
Entity
Organization
Contact information
Practice address
568 S MATHILDA AVE, SUNNYVALE, CA 94086-6287
(408) 738-0232
(408) 732-0242
Mailing address
568 S MATHILDA AVE, SUNNYVALE, CA 94086-7607
(408) 738-0232
(408) 732-0242
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386714335
NPI
CA
Enumeration date
11/08/2006
Last updated
03/08/2017
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