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Contact Information

GOLD STAR MEDICAL LLC
401 E BELL RD
SUITE 18
PHOENIX, AZ85022-2300
 Phone: 480-203-6464
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for GOLD STAR MEDICAL LLC

NPI # 1164727665
LBN Legal business name GOLD STAR MEDICAL LLC
Authorized official NASSER HAJAIG - (MEDICAL DIRECTOR/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/14/2011
Last updated 01/14/2011 - About 15 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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