Golden State Therapy Center

LBN: Golden State Therapy Center
Golden State Therapy Center is an health care organization with primary practice located at 1235 W Vine St Suite 22, Lodi CA 95240-5109. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), which is considered as the primary health care specialty. Golden State Therapy Center can be contacted via phone (209) 369-6996, or through Russell, Frank Lyman via phone (209) 369-6996.

Contact Information

Primary practice address
1235 W Vine St Suite 22 Lodi CA 95240-5109
Phone: (209) 369-6996
Fax: (209) 369-6980
Website:
Map and Directions
Authorized official contact:
Name: Russell, Frank Lyman MA, MFT
Phone: (209) 369-6996

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X California

Profile Details

NPI number 1720085343
LBN Legal business name Golden State Therapy Center
DBA Doing business as
Authorized official Russell, Frank Lyman MA, MFT
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2005
Last updated Aug 22nd, 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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