Organization
GOLDEN STATE EMERGENCY PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN P. MARON M.D. (PRESIDENT)
(855) 687-0618
Entity
Organization
Contact information
Practice address
1401 S GRAND AVE, LOS ANGELES, CA 90015-3010
(855) 687-0618
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(855) 687-0618
(330) 493-8677
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770886558
—
CA
Enumeration date
12/16/2010
Last updated
04/06/2022
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