Organization
GOLDEN ROSE PGX LLC
Active
Organization
GOLDEN ROSE PGX LLC
Active
Other names
Golden Rose PGX LLC
Organization subpart
No
Provider details
NPI number
Authorized official
FARIBA CLAPPER (PRESIDENT)
(925) 339-5826
Entity
Organization
Contact information
Practice address
4070 BASELINE RD STE 110, ROSEVILLE, CA 95747-6489
(925) 339-5826
(916) 403-7198
Mailing address
4148 SALLY RIDE WAY, SACRAMENTO, CA 95834-4001
(925) 339-5826
(916) 403-7198
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/13/2024
Last updated
12/18/2024
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