| Golden Shore Medical | |
|
625 Fair Oaks Ave Ste 270 South Pasadena CA 91030-5801 | |
| (626) 346-2455 | |
| Not Available |
| Full Name | Golden Shore Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 625 Fair Oaks Ave Ste 270, South Pasadena, California |
| Authorized Official Name and Position | Joseph M Molina (OWNER) |
| Authorized Official Contact | 6263462455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Shore Medical 625 Fair Oaks Ave Ste 270 South Pasadena CA 91030-5801 Ph: (626) 346-2455 | Golden Shore Medical 625 Fair Oaks Ave Ste 270 South Pasadena CA 91030-5801 Ph: (626) 346-2455 |
| NPI Number | 1578073078 |
|---|---|
| Provider Enumeration Date | 10/10/2017 |
| Last Update Date | 10/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578073078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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