# SAN JOAQUIN WELLNESS & MEDICAL GROUP, INC

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

## Provider details

- **NPI number:** 1679673719
- **Authorized official:** DR. VINCENT STEVEN BOOTH D.C. (CLINIC DIRECTOR)
- **Authorized official phone:** (661) 324-4431

## Contact information

- **Practice address:** 1201 24TH ST, B-200, BAKERSFIELD, CA 93301-2310
- **Practice address phone:** (661) 324-4431
- **Practice address fax:** (661) 324-5616
- **Mailing address:** 1201 24TH ST, B-200, BAKERSFIELD, CA 93301-2310
- **Mailing address phone:** (661) 324-4431
- **Mailing address fax:** (661) 324-5616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC0143200 | CA | — |
| 208D00000X | General Practice Physician | A89666 | CA | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 04/30/2008