GOLDEN STATE SPORTS INJURY AND ORTHOPEDIC MEDICAL ASSOCIATES, INC.
NPI 1124334107
Non-Pharmacy Dispensing Site in Northridge, CA
About Golden State Sports Injury And Orthopedic Medical Associates, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GOLDEN STATE SPORTS INJURY AND ORTHOPEDIC MEDICAL ASSOCIATES, INC. (NPI 1124334107) is a healthcare organization registered as a non-pharmacy dispensing site in Northridge, California and active in the NPI registry since August 2010. The organization lists Ronald Perelman, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2010019
Golden State Sports Injury & Orthopedic Medical Associates, Inc · Hawthorne, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Golden State Sports Injury And Orthopedic Medical Associates, Inc.'s NPI number?
The NPI number for Golden State Sports Injury And Orthopedic Medical Associates, Inc. is 1124334107. It was assigned to this organization in the NPPES registry on August 27, 2010.
Where is Golden State Sports Injury And Orthopedic Medical Associates, Inc. located?
Golden State Sports Injury And Orthopedic Medical Associates, Inc. is located at 18531 Roscoe Blvd Ste 202, Northridge, CA 91324. The listed phone number is (818) 998-8400.
What is Golden State Sports Injury And Orthopedic Medical Associates, Inc.'s specialty?
The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
When was this NPI record last updated?
The NPPES record for Golden State Sports Injury And Orthopedic Medical Associates, Inc. was last updated on October 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Golden State Sports Injury And Orthopedic Medical Associates, Inc. · NPI 1124334107
Non-Pharmacy Dispensing Site organization in Northridge, California. Organization record, active in the CMS NPPES registry since August 27, 2010.
## Identity
- **NPI:** 1124334107 (Entity type: Organization)
- **Enumerated:** August 27, 2010
- **Primary specialty:** Non-Pharmacy Dispensing Site · taxonomy 332900000X
- **Organization subpart:** Yes (part of Golden State Sports Injury And Orthopedic Medical Associates, Inc.)
- **Authorized official:** Ronald Perelman, OWNER
## Practice location
- **Address:** 18531 ROSCOE BLVD STE 202, Northridge, CA 91324-5950
- **Phone:** (818) 998-8400
## Record status
- **NPPES last updated:** October 19, 2015
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124334107) · Data from the CMS NPPES public registry.