GOLDEN STATE OTOLARYNGOLOGY MEDICAL (NPI# 1518376011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518376011 |
| Entity Type | Organization |
| Organization Name | GOLDEN STATE OTOLARYNGOLOGY MEDICAL |
| Practice Address |
41301 12th St W Suite A Palmdale CA 93551-1464 |
| Practice Telephone | 6617266277 |
| Practice Fax Number | 6617266291 |
| Mailing Telephone | 6617266277 |
| Mailing Fax Number | 6617266291 |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-08 |
| Authorized Official Name | RUWANTHI CAMPANO (CEO) |
| Authorized Official Telephone | 6617266277 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A69121 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174794408 | Golden State Otolaryngology Medical | Specialist | 301 Drummond Ave, Ridgecrest, CA 93555-3187 | 2008-03-14 |
| Street Address |
41301 12TH ST W SUITE A |
| City | PALMDALE |
| State | CA |
| Zip Code | 93551-1464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518578251 | Epak LLC | Registered Nurse | 6327 Giovanni Way, Palmdale, CA 93551 | 2020-08-16 |
| 1710500483 | Hmg Community Clinic Inc | Family Medicine | 38900 Trade Center Drive Suite B, Palmdale, CA 93551 | 2020-05-28 |
| 1891338372 | Babak Yousefi & Fariborz Rodef Dental Corporation | Dentist | 623 West Ave Q Suite #b, Palmdale, CA 93551 | 2019-10-28 |
| 1770052748 | The Kibbutz - Nature Serenity Renewal | Clinic/Center | 13136 Elizabeth Lake Rd, Leona Valley, CA 93551 | 2018-11-19 |
| 1306321872 | Vicky Elena Ledesma | Case Manager/Care Coordinator | 251 Grand Cypress Ave, Palmdale, CA 93551 | 2018-10-01 |
| 1972025898 | Tamika Estrella | Driver | 39553 Hawthorne St, Palmdale, CA 93551 | 2017-07-12 |
| 1245750751 | Tamara Vwich Dds Inc | Dentist | 3011 Rancho Vista Blvd., Suite I, Palmdale, CA 93551 | 2017-06-26 |
| 1487003356 | Thriving Consultingname | Home Health | 2845 Ladyfern Lane, Palmdale, CA 93551 | 2016-06-10 |
| 1235501750 | Jessica Andrea Ulloa | Counselor | 734 Celtic Dr, Palmdale, CA 93551 | 2015-10-23 |
| 1508240243 | Rachel Williams | Registered Nurse | 3961 Woburn Ct, Palmdale, CA 93551 | 2015-07-13 |
| Find all providers in zip 93551 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710532015 | Zoanne Vanette Brace | Specialist | 39340 Gainsborough Dr, Palmdale, CA 93551-4022 | 2019-08-05 |
| 1477009074 | Robert Bradley | Specialist | 1609 E Palmdale Blvd Ste E, Palmdale, CA 93550-4881 | 2016-09-01 |
| 1720272370 | Anna Krzysiak | Specialist | 3167 Rancho Vista Blvd Ste D, Palmdale, CA 93551-5517 | 2007-08-28 |
| 1154450203 | Access Physical Therapy Inc | Specialist | 1850 E Palmdale Blvd, Palmdale, CA 93550-2026 | 2007-03-05 |
| 1366458317 | Lee Kuei Wen Au | Specialist | 3333 Fulham Ct, Palmdale, CA 93551-3500 | 2006-07-31 |
| 1396789970 | Jasbir Singh Sandhu | Specialist | 41324 12th St W, 209, Palmdale, CA 93551-1466 | 2006-06-15 |
| 1790746014 | Ranjiv S Choudhary | Specialist | 41210 11th St W, Ste G, Palmdale, CA 93551-1447 | 2006-03-28 |
| 1255329520 | Ray H Damours | Specialist | 819 Auto Center Drive, Palmdale, CA 93551 | 2005-10-11 |
| 1306841069 | Mary Ann Mccoy | Specialist | 38209 47th St E Ste C, Palmdale, CA 93552-3113 | 2005-06-17 |
| 1124023999 | Sheila L Wright-scott | Specialist | 615 W Avenue Q, Ste 1b, Palmdale, CA 93551-3887 | 2005-06-16 |
| Find all providers in PALMDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.