Organization
NM GOLDEN STATE SURGICAL SERVIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE FISCHER (MEDICAL BILLER)
(520) 547-4130
Entity
Organization
Contact information
Practice address
2202 S FIGUEROA ST # 600, LOS ANGELES, CA 90007-2049
(520) 547-4130
(520) 258-0304
Mailing address
2202 S FIGUEROA ST # 600, LOS ANGELES, CA 90007-2049
(520) 547-4130
(520) 258-0304
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261QA1903X
TAXONOMY
CA
Enumeration date
12/15/2010
Last updated
12/15/2010
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