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NPI Code Detail

MEDICARE: GOLDEN LIVING HEALTH MANAGEMENT INC

MEDICARE: GOLDEN LIVING HEALTH MANAGEMENT INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living Facility

General Provider Information

NPI Number : 1376124123
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOLDEN LIVING HEALTH MANAGEMENT INC
Provider Business Mailing Address
First Line : 2618 SAN MIGUEL DR STE 420
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-5437
Country : US
Telephone Number : 949-903-2770
Fax Number :
Provider Business Practice Location Address
First Line : 3223 DUKE ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92110-5401
Country : US
Telephone Number : 949-903-2770
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DAN SALCEDA
Credential :
Telephone Number : 949-903-2770
Provider Enumeration Date : 04/14/2021
Last Update Date : 04/14/2021

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Directions to “GOLDEN LIVING HEALTH MANAGEMENT INC ” Practice Location

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