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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GOLDEN STATE MEDICAL GROUP

Active Organization

GOLDEN STATE MEDICAL GROUP is a Family Medicine organization located in MONTCLAIR, California. NPI 1255958476 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MONTCLAIR, CA

Registration Details

NPI Number
1255958476
Provider Type
Organization
NPI Issued
Jul 3, 2020 (6.1160508640845 yrs)
Last Updated
Jul 3, 2020

Practice Information

Address
4959 PALO VERDE ST STE 206A-5
MONTCLAIR, CA, 917632342
Browse CA providers · Browse ZIP 91763
Phone
9096944016
Fax
9099203344
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.