Golden State Otolaryngology Medical Corporation
Golden State Otolaryngology Medical Corporation provides Specialist services in Lancaster, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
44105 15th St W Ste 202Lancaster, CA 93534-4090 Not confirmed with CMS for 18 years — call before visiting
Phone: (661) 726-6277
Fax: (661) 726-6291
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence A69121 (CA) |
|---|
Record details
| NPI number | 1568660611 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ruwanthi Campano — President · (661) 726-6277 |
| Other names | Gsomc-Billing |
| NPI enumerated | July 10, 2007 |
| Last updated in NPPES | February 11, 2008 |
| Mailing address | Po Box 6558, Lancaster, CA 93539-6558 |
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