Organization
GOLDEN EMPIRE CARDIOLOGY, A MEDICAL GROUP, INC
Active
Organization
GOLDEN EMPIRE CARDIOLOGY, A MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOMMY C LEE MD (PRESIDENT)
(661) 321-3161
Entity
Organization
Contact information
Practice address
3838 SAN DIMAS ST, SUITE B-201, BAKERSFIELD, CA 93301-1456
(661) 321-3161
(661) 321-3166
Mailing address
3838 SAN DIMAS ST, SUITE B-201, BAKERSFIELD, CA 93301-1456
(661) 321-3161
(661) 321-3166
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0083200
—
CA
01
—
ZZZ09661Z
GROUP BLUE SHIELD NO
CA
Enumeration date
05/16/2006
Last updated
08/22/2020
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