GOLDEN STATE DIAGNOSTIC INC NPI 1386714335

NPI Information

NPI: 1386714335
Provider Name: GOLDEN STATE DIAGNOSTIC INC

Doing Business As: SUNNYVALE IMAGING CENTER

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
568 S MATHILDA AVE
SUNNYVALE, CA
ZIP 94086
Phone: (408) 738-0232
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GOLDEN STATE DIAGNOSTIC INC is a radiology clinic center in Sunnyvale, CA. GOLDEN STATE DIAGNOSTIC INC NPI is 1386714335. The provider is registered as an organization entity type.
The provider Is Doing Business As Sunnyvale Imaging Center.

The provider's business location address is:

568 S MATHILDA AVE
SUNNYVALE, CA
ZIP 94086-287
Phone: (408) 738-0232
Fax: (408) 732-0242

The provider's authorized official is Terri A Perez .
The authorized official title is Contract Personnel and has the following contact phone number (209) 261-7905.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 3/8/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1386714335	OTHER	CALIFORNIA	NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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