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Organization
TRUXTUN PSYCHIATRIC MEDICAL GROUP
Active
Organization
TRUXTUN PSYCHIATRIC MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAKREPATNA A MANOHARA MD (OWNER)
(661) 323-6410
Entity
Organization
Contact information
Practice address
6001 TRUXTUN AVE, SUITE #160, BAKERSFIELD, CA 93309-0679
(661) 323-6410
(661) 323-7631
Mailing address
6001 TRUXTUN AVE, SUITE #160, BAKERSFIELD, CA 93309-0679
(661) 323-6410
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A34791
CA
Other
Enumeration date
11/28/2006
Last updated
01/26/2012
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