# MEDICAL GROUP OF SAN JOAQUIN VALLEY

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

## Provider details

- **NPI number:** 1952693178
- **Authorized official:** DR. CHARLES ROY PHILLIPS M.D. (OWNER)
- **Authorized official phone:** (661) 322-7500

## Contact information

- **Practice address:** 3201 F ST, SUITE 250, BAKERSFIELD, CA 93301-1839
- **Practice address phone:** (661) 322-7500
- **Practice address fax:** (661) 322-7510
- **Mailing address:** 3201 F ST, SUITE 250, BAKERSFIELD, CA 93301-1839
- **Mailing address phone:** (661) 322-7500
- **Mailing address fax:** (661) 322-7510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | G16783 | CA | Yes |

## Other

- **Enumeration date:** 05/05/2011
- **Last updated:** 05/05/2011