Organization
EMERGENCY MEDICAL SERVICES GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEAH CHIVINGTON (ADMINISTRATOR)
(661) 323-5918
Entity
Organization
Contact information
Practice address
100 E NORTH ST, TAFT, CA 93268-3606
(661) 765-1935
(661) 765-1928
Mailing address
3550 Q ST, SUITE 101, BAKERSFIELD, CA 93301-1662
(661) 323-5918
(661) 323-4703
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0071551
—
CA
Enumeration date
08/29/2006
Last updated
07/19/2011
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