Healthcare Provider Details

I. General information

NPI: 1003556333
Provider Name (Legal Business Name): GOLDEN STATE SURGERY CENTERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2022
Last Update Date: 04/01/2022
Certification Date: 04/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 EL CAMINO REAL STE 200
BURLINGAME CA
94010-3102
US

IV. Provider business mailing address

1850 EL CAMINO REAL STE 200
BURLINGAME CA
94010-3102
US

V. Phone/Fax

Practice location:
  • Phone: 650-697-2431
  • Fax:
Mailing address:
  • Phone: 650-697-2431
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAMES JOYE
Title or Position: MEDICAL DIRECTOR
Credential: DO
Phone: 714-766-5882