Provider Demographics
NPI:1699047225
Name:GOLDEN STATE CARDIAC AND THORACIC SURGERY INC
Entity type:Organization
Organization Name:GOLDEN STATE CARDIAC AND THORACIC SURGERY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LEHEB
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-627-8600
Mailing Address - Street 1:PO BOX 69
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93279-0069
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:202 W WILLOW AVE
Practice Address - Street 2:SUITE 405
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-6238
Practice Address - Country:US
Practice Address - Phone:559-627-8600
Practice Address - Fax:559-627-8605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty