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General NPI Number Information
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NPI Number | 1972499523
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Entity Type | Organization
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Legal Business Name | GOLDEN STATE WOUND CARE A MEDICAL CORPORATION
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 96 N MADISON AVE
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City | PASADENA
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State | CA
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Zip | 91101-1740
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Country | US
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Telephone | 626-376-4439
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Fax | 626-602-3863
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Provider Business Mailing Address
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Address Line | 96 N MADISON AVE
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City | PASADENA
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State | CA
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Zip | 91101-1740
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Country | US
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Telephone | 626-376-4439
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Fax | 626-602-3863
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Authorized Official
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Title or Position | OWNER
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Name | NARBEH TOVMASSIAN
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Credential | MD
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Telephone | 818-404-9497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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