Provider Type Icon

GOLDEN STATE SPORTS INJURY AND ORTHOPEDIC MEDICAL ASSOCIATES INC. NPI 1770643645


NPI Information

NPI: 1770643645
Provider Name: GOLDEN STATE SPORTS INJURY AND ORTHOPEDIC MEDICAL ASSOCIATES, INC.
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 05D2010019

Address:
18531 ROSCOE BLVD
SUITE 202
NORTHRIDGE, CA
ZIP 91324
Phone: (818) 998-8400
Get Directions

GOLDEN STATE SPORTS INJURY AND ORTHOPEDIC MEDICAL ASSOCIATES, INC. is an orthopaedic surgery in Northridge, CA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. GOLDEN STATE SPORTS INJURY AND ORTHOPEDIC MEDICAL ASSOCIATES, INC. NPI is 1770643645. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

18531 ROSCOE BLVD
SUITE 202
NORTHRIDGE, CA
ZIP 91324-641
Phone: (818) 998-8400
Fax: (818) 998-8404

The provider's authorized official is Ronald B Perelman .
The authorized official title is Owner and has the following contact phone number (818) 998-8400.

The CLIA number assigned to this NPI record is 05D2010019 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic SurgeryC32643CALIFORNIAYes
2207XX0005XOrthopaedic SurgerySports MedicineC32643CALIFORNIAX

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.