Iol Medical Services, Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

IOL MEDICAL SERVICES, INC

Doing business as

Golden House Adhc Center

Practice address

652 Russet CT
Walnut Creek, CA 94598-4652

Phone

(925) 457-8828

NPI assigned

Jul 10, 2007

Last updated

Aug 22, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leonid Grinshpan

Title

Cfo

Phone

(925) 457-8828

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GOLDEN HOUSE ADHC CENTER Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1801094842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 UNIVERSITY AVE STE 110",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919416023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 RUSSET CT",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945984652",
            "telephone_number": "925-457-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOL MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "GRINSHPAN",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "925-457-8828"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "ADU70135F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLDEN HOUSE ADHC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Day Care Clinic/Center in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.