| Golden Shore Medical Group | |
|
445 E. Anaheim Street, #h Wilmington CA 90744-4600 | |
| (310) 518-6146 | |
| (877) 469-1428 |
| Full Name | Golden Shore Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 445 E. Anaheim Street, #h, Wilmington, 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 445 E. Anaheim Street, #h Wilmington CA 90744-4600 Ph: (310) 518-6146 |
| NPI Number | 1982976692 |
|---|---|
| Provider Enumeration Date | 01/27/2012 |
| Last Update Date | 02/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982976692 | NPI | - | NPPES |
| DU4032-EFF. 3/5/12 | Other | CA | RAILROAD MEDICARE |
| APPROVED EFF 1/31/12 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
| 207R00000X | Internal Medicine | (California) | Secondary |
| 208000000X | Pediatrics | (California) | Secondary |
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Wilmington Subcenter Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Broad Ave, Wilmington, CA 90744 Phone: 562-804-8101 | |
Nationwide Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1322 N Avalon Blvd, Wilmington, CA 90744 Phone: 310-513-1300 Fax: 310-513-1311 | |
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