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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