| Golden State Behavioral Medical Group, Inc. | |
|
1560 E Chevy Chase Dr Suite 130 Glendale CA 91206-4197 | |
| (818) 240-0340 | |
| (818) 545-7672 |
| Full Name | Golden State Behavioral Medical Group, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1560 E Chevy Chase Dr, Glendale, California |
| Authorized Official Name and Position | Javad Razani (PRESIDENT) |
| Authorized Official Contact | 3104717730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden State Behavioral Medical Group, Inc. 1560 E Chevy Chase Dr Suite 130 Glendale CA 91206-4197 Ph: (818) 240-0340 | Golden State Behavioral Medical Group, Inc. 1560 E Chevy Chase Dr Suite 130 Glendale CA 91206-4197 Ph: (818) 240-0340 |
| NPI Number | 1306161583 |
|---|---|
| Provider Enumeration Date | 03/31/2010 |
| Last Update Date | 03/31/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306161583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G156084 (California) | Primary |
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