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Golden State Otolaryngology Medical Corporation
Specialist in Lancaster, California
NPI 1568660611

Golden State Otolaryngology Medical Corporation is a Specialist based in Lancaster, CA. Golden State Otolaryngology Medical Corporation practices in Lancaster, CA. The NPI Number for Golden State Otolaryngology Medical Corporation is 1568660611 and holds a License No. A69121 (California).

The current practice location address for Golden State Otolaryngology Medical Corporation is 44105 15Th St W Ste 202, Lancaster, CA and can be reached out via phone at 661-726-6277 and via fax at 661-726-6291.

Location: 44105 15Th St W Ste 202, Lancaster, CA, 93539-6558
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568660611
Provider Name
Golden State Otolaryngology Medical Corporation
Credential
Provider Entity Type
Organization
Address
44105 15Th St W Ste 202, Lancaster, CA, 93539-6558
Phone Number
661-726-6277
Fax Number
661-726-6291
Provider Enumeration Date
07/10/2007
Last Update Date
02/15/2025
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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
44105 15Th St W Ste 202
City
Lancaster
State
California
Zip
93534-4090
Phone Number
661-726-6277
Fax Number
661-726-6291
person
Provider Business Mailing Address Details
Address
44105 15Th St W Ste 202
City
Lancaster
State
California
Zip
93534-4090
Phone Number
661-726-6277
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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