| Golden Shore Medical Group | |
|
1900 Atlantic Ave Long Beach CA 90806-5502 | |
| (562) 437-0373 | |
| (877) 469-3631 |
| Full Name | Golden Shore Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 1900 Atlantic Ave, Long Beach, California |
| Authorized Official Name and Position | Gloria Calderon (VICE PRESIDENT, CLINIC OPERATIONS) |
| Authorized Official Contact | 6263462455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Shore Medical Group 625 Fair Oaks Ave Ste 270 South Pasadena CA 91030-5801 Ph: (626) 346-2455 | Golden Shore Medical Group 1900 Atlantic Ave Long Beach CA 90806-5502 Ph: (562) 437-0373 |
| NPI Number | 1891067500 |
|---|---|
| Provider Enumeration Date | 01/27/2012 |
| Last Update Date | 02/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891067500 | NPI | - | NPPES |
| APPROVED EFF 1/31/12 | Medicaid | CA | |
| DU4032-EFF. 3/5/12 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
| 208000000X | Pediatrics | (California) | Secondary |
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