Provider Demographics
NPI:1588050561
Name:GOLDEN VIEW SENIOR SERVICES
Entity type:Organization
Organization Name:GOLDEN VIEW SENIOR SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAJAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-740-9608
Mailing Address - Street 1:104 S C ST STE D
Mailing Address - Street 2:
Mailing Address - City:LOMPOC
Mailing Address - State:CA
Mailing Address - Zip Code:93436-6924
Mailing Address - Country:US
Mailing Address - Phone:805-740-9608
Mailing Address - Fax:805-740-2044
Practice Address - Street 1:104 S C ST STE D
Practice Address - Street 2:
Practice Address - City:LOMPOC
Practice Address - State:CA
Practice Address - Zip Code:93436-6924
Practice Address - Country:US
Practice Address - Phone:805-740-9608
Practice Address - Fax:805-740-2044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-07
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA461423328OtherIN HOME SUPPORT CARE