Organization
P.C. MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA GOLD M.D (MEDICAL DOCTOR)
(818) 507-8181
Entity
Organization
Contact information
Practice address
631 E COLORADO ST, SUITE C, GLENDALE, CA 91205
(818) 507-8181
Mailing address
631 E COLORADO ST, SUITE C, GLENDALE, CA 91205
(818) 507-8181
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003102856
—
CA
05
—
1508900887
—
CA
Enumeration date
06/08/2015
Last updated
06/08/2015
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