Provider Demographics
NPI:1649074261
Name:GOLDEN STATE NEUROSURGERY, PC
Entity type:Organization
Organization Name:GOLDEN STATE NEUROSURGERY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJAMAND
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:818-987-7875
Mailing Address - Street 1:8605 SANTA MONICA BLVD # 371125
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90069-4109
Mailing Address - Country:US
Mailing Address - Phone:818-897-7875
Mailing Address - Fax:
Practice Address - Street 1:16311 VENTURA BLVD STE 655
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-1233
Practice Address - Country:US
Practice Address - Phone:818-987-7875
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-02
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty