GOLDEN STATE SPORTS INJURY AND ORTHOPEDIC MEDICAL ASSOCIATES, INC. is a non pharmacy dispensing site in Northridge, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) GOLDEN STATE SPORTS INJURY AND ORTHOPEDIC MEDICAL ASSOCIATES, INC. NPI is 1124334107. The provider is registered as an organization entity type.
The provider's business location address is:
18531 ROSCOE BLVD STE 202
NORTHRIDGE, CA
ZIP 91324-950
Phone: (818) 998-8400
The provider's authorized official is Ronald 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 05D2221459 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/27/2010 and was last updated on 10/19/2015.