Organization
VALLEY MEDICAL GROUP OF KERN COUNTY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CLAUDIA FUENTES (BUSINESS OFFICE MANAGER)
(661) 836-4000
Entity
Organization
Contact information
Practice address
5401 WHITE LN, BAKERSFIELD, CA 93309-6279
(661) 836-4000
(661) 847-4097
Mailing address
PO BOX 11510, BAKERSFIELD, CA 93389-1510
(661) 836-4000
(661) 847-4097
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A429860
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5402560001
NORIDIAN MEDICARE
CA
01
—
DA7903
MEDICARE RAILROAD
CA
05
—
GR0084020
—
CA
Enumeration date
01/25/2007
Last updated
06/19/2008
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