# ARISE PSYCHIATRIC MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1972183648
- **Authorized official:** DR. KINGWAI LUI DO (PRESIDENT)
- **Authorized official phone:** (626) 696-0880

## Contact information

- **Practice address:** 1500 HAGGIN OAKS BLVD STE 202, BAKERSFIELD, CA 93311-1333
- **Practice address phone:** (661) 735-3887
- **Practice address fax:** (661) 836-5545
- **Mailing address:** 8200 STOCKDALE HWY, SUITE M10 BOX 329, BAKERSFIELD, CA 93311
- **Mailing address phone:** (949) 466-5666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/08/2021
- **Last updated:** 04/08/2021