OrganizationActive
Golden State Therapy Center
NPI 1720085343 · Comprehensive Outpatient Rehabilitation Facility (CORF) · Lodi, CA
Provider details
- NPI number
- 1720085343
- Entity type
- Organization
- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Frank Russell, Administrator(209) 369-6996
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1235 W Vine St
Suite 22
Lodi, CA 95240-5109
Phone: (209) 369-6996
Fax: (209) 369-6980
Approximate (ZIP-level) locationGet directions
Mailing address
1235 W Vine St
Lodi, CA 95240-5109
Registry dates
- Enumerated
- 2005-06-29
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.