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Organization
SAN DIMAS MEDICAL GROUP, INC
Active
Organization
SAN DIMAS MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEG BOARD R.N. (DIRECTOR OF OPERATIONS)
(661) 663-4860
Entity
Organization
Contact information
Practice address
100 OLD RIVER RD, BAKERSFIELD, CA 93311-8823
(661) 663-4800
(661) 663-4871
Mailing address
100 OLD RIVER RD, BAKERSFIELD, CA 93311-8823
(661) 663-4800
(661) 663-4871
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
CA
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Enumeration date
05/17/2007
Last updated
09/27/2017
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