NPI 1639559206

Golden Age

Organisation Point of Service Aurora, CO

Practice location

Address: 21595 E Layton Ln, Aurora, CO 80015-6776
Phone: (720) 299-2506

Authorised official

Name: Timur Tashkulov
Title: Administrator
Phone: (720) 299-0506

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 04E899 (CO)

Other Point of Service providers in Colorado →

Registry record

NPI: 1639559206
Entity type: Organization
NPI issued: 9 Jun 2015
Record last updated: 9 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.