Golden State Providers, A Medical Corporation

LBN: Golden State Providers, A Medical Corporation
Golden State Providers, A Medical Corporation is an health care organization with primary practice located at 865 Patriot Dr Ste 203 , Moorpark CA 93021-3405. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Golden State Providers, A Medical Corporation can be contacted via phone (805) 370-4684, or through Habis, Saba via phone (805) 852-9100.

Contact Information

Primary practice address
865 Patriot Dr Ste 203 Moorpark CA 93021-3405
Phone: (805) 370-4684
Fax: (844) 748-4623
Website:
Map and Directions
Authorized official contact:
Name: Habis, Saba Doctor of Medicine (MD)
Phone: (805) 852-9100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1366859449
LBN Legal business name Golden State Providers, A Medical Corporation
DBA Doing business as
Authorized official Habis, Saba Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2014
Last updated Oct 30th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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