Provider Demographics
NPI:1952098394
Name:GOLDEN CARE CLINIC LLC
Entity Type:Organization
Organization Name:GOLDEN CARE CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANAIT
Authorized Official - Middle Name:
Authorized Official - Last Name:AKOPYAN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:818-640-3445
Mailing Address - Street 1:13130 AETNA ST
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-3102
Mailing Address - Country:US
Mailing Address - Phone:818-640-3445
Mailing Address - Fax:
Practice Address - Street 1:13130 AETNA ST
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-3102
Practice Address - Country:US
Practice Address - Phone:818-640-3445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty