Provider Demographics
NPI:1518110162
Name:GOLDEN CABINET MEDICAL GROUP
Entity Type:Organization
Organization Name:GOLDEN CABINET MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DREW
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:OMD
Authorized Official - Phone:310-575-5611
Mailing Address - Street 1:2019 SAWTELLE BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-6229
Mailing Address - Country:US
Mailing Address - Phone:310-575-5611
Mailing Address - Fax:310-575-9885
Practice Address - Street 1:2019 SAWTELLE BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-6229
Practice Address - Country:US
Practice Address - Phone:310-575-5611
Practice Address - Fax:310-575-9885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28723111N00000X
CAAC2712171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty