Golden State Providers, a Medical Corporation
NPI #1366859449 in Moorpark, California
Provider Information
- NPI Number
- 1366859449
- Entity Type
- Organization
- Organization Name
- Golden State Providers, a Medical Corporation
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Jul 21, 2014
- Last Updated
- Oct 30, 2020
Practice Location
- Address
- 865 PATRIOT DR STE 203
- City
- Moorpark
- State
- California
- ZIP Code
- 93021-3405
- Phone
- (805) 370-4684
Authorized Official
- Name
- DR. SABA HABIS, MD
- Title
- AUTHORIZED OFFICIAL
- Phone
- (805) 852-9100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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