Organization
GOLDEN WEST MEDICAL CORPORATION
Active
Other names
Golden West Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN CAPELOTO M.D. (MEDICAL DIRECTOR)
(714) 634-4884
Entity
Organization
Contact information
Practice address
1000 S. ANAHEIM BLVD., SUITE 200, ANAHEIM, CA 92805-5802
(714) 634-4884
(714) 635-5389
Mailing address
1000 S. ANAHEIM BLVD., SUITE 200, ANAHEIM, CA 92805-5802
(714) 634-4884
(714) 635-5389
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
42656
CA
261QU0200X
Urgent Care Clinic/Center
42656
CA
332900000X
Non-Pharmacy Dispensing Site
42656
CA
332900000X
Non-Pharmacy Dispensing Site
68972
CA
Other
Enumeration date
03/11/2014
Last updated
01/12/2016
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