National Provider Identifier Database

GOLD STAR MEDICAL LLC
Urgent Care


Contact Information

GOLD STAR MEDICAL LLC
401 E BELL RD
SUITE 18
PHOENIX, AZ85022-2300
Phone: 480-203-6464
Fax:
Website:
Specialty Taxonomy Code
* Urgent Care 261QU0200X

* Indicates primary specialty

NPI Profile & details for GOLD STAR MEDICAL LLC

NPI Number 1164727665
Legal business name
LBN
GOLD STAR MEDICAL LLC
Authorized official NASSER HAJAIG - (MEDICAL DIRECTOR/CEO)
Entity Organization
Organization subpart No
Enumeration date 01/14/2011
Last updated 01/14/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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