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Organization
CENTRAL CALIFORNIA HOSPITALISTS
Active
Organization
CENTRAL CALIFORNIA HOSPITALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKTI SRIVASTAVA MD (OWNER)
(661) 332-3355
Entity
Organization
Contact information
Practice address
1401 GARCES HWY, DELANO, CA 93215
(661) 332-3355
(661) 859-1209
Mailing address
PO BOX 12798, BAKERSFIELD, CA 93389-2798
(661) 332-3355
(661) 332-3355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0103730
MEDI-CAL-MERCY TRUXTUN
CA
01
—
GR0103731
MEDI-CAL-MERCY SW
CA
Enumeration date
08/31/2006
Last updated
05/20/2018
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