# CBG MEDICAL GROUP LLC

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

## Provider details

- **NPI number:** 1821939430
- **Authorized official:** NICHOLAS CLAY WILLIAMS (MANAGING MEMBER)
- **Authorized official phone:** (442) 453-4974

## Contact information

- **Practice address:** 2613 LINCOLN LN, PALMDALE, CA 93551-5813
- **Practice address phone:** (442) 453-4974
- **Practice address fax:** (747) 234-2010
- **Mailing address:** 2613 LINCOLN LN, PALMDALE, CA 93551-5813
- **Mailing address phone:** (442) 453-4974
- **Mailing address fax:** (747) 234-2010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/06/2026
- **Last updated:** 04/06/2026