Organization
RONNIE CLAIBORNE M.D. A PROFESSIONAL CORPORATION
Active
Other names
Central Valley Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONNIE CLAIBORNE M.D. (PRESIDENT)
(661) 323-2295
Entity
Organization
Contact information
Practice address
1925 17TH ST, BAKERSFIELD, CA 93301-4201
(661) 323-2295
(661) 323-8040
Mailing address
1925 17TH ST, BAKERSFIELD, CA 93301-4201
(661) 323-2295
(661) 323-8040
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G66649
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G666491
—
CA
01
—
1578503256
INDIVIDUAL NPI
CA
Enumeration date
03/13/2009
Last updated
03/13/2009
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