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Organization
POLYCLINIC MEDICAL CENTER, INC.
Active
Organization
POLYCLINIC MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN A. MONTERROSO M.D. (DOCTOR)
(661) 327-5984
Entity
Organization
Contact information
Practice address
2145 NILES ST, BAKERSFIELD, CA 93305-5007
(661) 327-5984
(661) 327-3831
Mailing address
2145 NILES ST, BAKERSFIELD, CA 93305-5007
(661) 327-5984
(661) 327-3831
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
G58893
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM70507H
—
CA
05
—
GR0084450
—
CA
Enumeration date
02/19/2008
Last updated
08/05/2008
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