Provider Demographics
NPI:1295061331
Name:GOLDEN HEALTH THERAPEUTICS, INC
Entity type:Organization
Organization Name:GOLDEN HEALTH THERAPEUTICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:BESGANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-292-8530
Mailing Address - Street 1:3618 WAGNER PL
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-2633
Mailing Address - Country:US
Mailing Address - Phone:858-292-8530
Mailing Address - Fax:
Practice Address - Street 1:5680 LAKE MURRAY BLVD
Practice Address - Street 2:STE D
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-1905
Practice Address - Country:US
Practice Address - Phone:858-292-8530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-25
Last Update Date:2009-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy