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NPI Code Detail

MEDICARE: GOLDEN CABINET MEDICAL GROUP

MEDICARE: GOLDEN CABINET MEDICAL GROUP
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
1111N00000XChiropractorDC28723CA
2171100000XAcupuncturistAC2712CA

General Provider Information

NPI Number : 1518110162
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOLDEN CABINET MEDICAL GROUP
Provider Business Mailing Address
First Line : 2019 SAWTELLE BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-6229
Country : US
Telephone Number : 310-575-5611
Fax Number : 310-575-9885
Provider Business Practice Location Address
First Line : 2019 SAWTELLE BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-6229
Country : US
Telephone Number : 310-575-5611
Fax Number : 310-575-9885
Authorized Official
Title or Position : OWNER
Name : ROBERT DREW FRANCIS
Credential : OMD
Telephone Number : 310-575-5611
Provider Enumeration Date : 10/28/2008
Last Update Date : 10/28/2008

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Directions to “GOLDEN CABINET MEDICAL GROUP ” Practice Location

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