# J R GRANDHE MD MEDICAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366852980
- **Authorized official:** J. R. GRANDHE (MD)
- **Authorized official phone:** (661) 327-9300

## Contact information

- **Practice address:** 6401 TRUXTUN AVE STE B, BAKERSFIELD, CA 93309-0674
- **Practice address phone:** (661) 327-9300
- **Mailing address:** 6401 TRUXTUN AVE STE B, BAKERSFIELD, CA 93309-0674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 95000364 | CA | Yes |

## Other

- **Enumeration date:** 05/05/2014
- **Last updated:** 05/05/2014