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Golden State Otolaryngology Medical
Specialist in Ridgecrest, California
NPI 1174794408

Golden State Otolaryngology Medical is a Specialist based in Lancaster, CA. Golden State Otolaryngology Medical practices in Ridgecrest, CA. The NPI Number for Golden State Otolaryngology Medical is 1174794408 and holds a License No. A69121 (California).

The current practice location address for Golden State Otolaryngology Medical is 301 Drummond Ave, Ridgecrest, CA and can be reached out via phone at 760-371-7329 and via fax at 661-726-6291.

Location: 301 Drummond Ave, Ridgecrest, CA, 93539-6558
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174794408
Provider Name
Golden State Otolaryngology Medical
Credential
Provider Entity Type
Organization
Address
301 Drummond Ave, Ridgecrest, CA, 93539-6558
Phone Number
760-371-7329
Fax Number
661-726-6291
Provider Enumeration Date
03/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ64933Z 01 CA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
301 Drummond Ave
City
Ridgecrest
State
California
Zip
93555-3187
Phone Number
760-371-7329
Fax Number
661-726-6291
person
Provider Business Mailing Address Details
Address
301 Drummond Ave
City
Ridgecrest
State
California
Zip
93555-3187
Phone Number
760-371-7329
Fax Number
661-726-6291
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A69121 (California)
Definition
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.
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