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General NPI Number Information
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NPI Number | 1922904002
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Entity Type | Organization
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Legal Business Name | GOLDEN HORIZON RESIDENCE LLC
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Dates
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Enumeration Date | 10/16/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 163 N PASADENA AVE
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City | AZUSA
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State | CA
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Zip | 91702-3722
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Country | US
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Telephone | 626-804-3399
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Fax | 818-736-9703
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Provider Business Mailing Address
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Address Line | 163 N PASADENA AVE
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City | AZUSA
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State | CA
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Zip | 91702-3722
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Country | US
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Telephone | 626-804-3399
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Fax | 818-736-9703
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | GERALDINE B RODRIGUEZ
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Credential |
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Telephone | 323-360-4627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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