Provider Demographics
NPI:1154094928
Name:GOLDEN TIMES SOCIETY CORP.
Entity Type:Organization
Organization Name:GOLDEN TIMES SOCIETY CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAMRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIRAZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-905-6065
Mailing Address - Street 1:PO BOX 3430
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92834-3430
Mailing Address - Country:US
Mailing Address - Phone:714-905-6065
Mailing Address - Fax:
Practice Address - Street 1:27860 ALEUTIA WAY
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92887-4219
Practice Address - Country:US
Practice Address - Phone:714-905-6065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty