Gold Care Golden State Medical | |
800 S Central Ave Ste 302 Glendale CA 91204-4388 | |
(818) 332-2233 | |
(818) 484-5422 |
Full Name | Gold Care Golden State Medical |
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Speciality | General Practice |
Location | 800 S Central Ave Ste 302, Glendale, California |
Authorized Official Name and Position | Bernard Mcnamara (CEO) |
Authorized Official Contact | 8182445444 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gold Care Golden State Medical 800 S Central Ave Ste 302 Glendale CA 91204-4388 Ph: (818) 332-2233 | Gold Care Golden State Medical 800 S Central Ave Ste 302 Glendale CA 91204-4388 Ph: (818) 332-2233 |
NPI Number | 1356929558 |
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Provider Enumeration Date | 03/30/2021 |
Last Update Date | 09/26/2022 |
Medicare PECOS PAC ID | 7113328253 |
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Medicare Enrollment ID | O20210628001821 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356929558 | NPI | - | NPPES |
Provider Name | Marina Gold |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1770653974 PECOS PAC ID: 4385552538 Enrollment ID: I20040407000423 |
Provider Name | Bernard T Mcnamara |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1255351573 PECOS PAC ID: 3274504295 Enrollment ID: I20040803001730 |
Provider Name | Anna Manukyan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003445768 PECOS PAC ID: 8123459617 Enrollment ID: I20200518001338 |
Provider Name | Karapet Mirakyan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194318014 PECOS PAC ID: 5294134847 Enrollment ID: I20210601002604 |
Provider Name | Phillip Oganesyan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558061051 PECOS PAC ID: 5799144564 Enrollment ID: I20230711004158 |
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