Provider Demographics
NPI:1750772141
Name:GOLDEN STATE MANAGEMENT GROUP INC.
Entity type:Organization
Organization Name:GOLDEN STATE MANAGEMENT GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NIRMALJIT
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-778-0022
Mailing Address - Street 1:1101 HORIZON DR STE 103
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-1688
Mailing Address - Country:US
Mailing Address - Phone:510-778-0022
Mailing Address - Fax:510-232-2338
Practice Address - Street 1:1101 HORIZON DR STE 103
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-1688
Practice Address - Country:US
Practice Address - Phone:510-778-0022
Practice Address - Fax:510-232-2338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-07
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA344600000X, 347C00000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
No347C00000XTransportation ServicesPrivate Vehicle