# CLINICIANS MEDICAL GROUP, INC

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

## Provider details

- **NPI number:** 1407080468
- **Authorized official:** JOHNSON JUNG M.D. (PRESIDENT)
- **Authorized official phone:** (661) 326-8060

## Contact information

- **Practice address:** 1801 16TH ST STE B, BAKERSFIELD, CA 93301-5002
- **Practice address phone:** (661) 326-8060
- **Practice address fax:** (661) 326-1349
- **Mailing address:** 1801 16TH ST STE B, BAKERSFIELD, CA 93301-5002
- **Mailing address phone:** (661) 326-8060
- **Mailing address fax:** (661) 326-1349

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 174400000X | Specialist | A41492 | CA | — |
| 207N00000X | Dermatology Physician | A40540 | CA | — |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | A47812 | CA | Yes |
| 207RI0200X | Infectious Disease Physician | A24185 | CA | — |
| 207RI0200X | Infectious Disease Physician | G58099 | CA | — |
| 207RP1001X | Pulmonary Disease Physician | A72152 | CA | — |
| 207X00000X | Orthopaedic Surgery Physician | G28242 | CA | — |
| 2084N0400X | Neurology Physician | A25213 | CA | — |
| 208VP0000X | Pain Medicine Physician | A89459 | CA | — |

## Other

- **Enumeration date:** 05/06/2009
- **Last updated:** 05/06/2009