Organization
MERCY LABORIST GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA GARCIA (ADMINISTRATOR)
(661) 910-6890
Entity
Organization
Contact information
Practice address
9610 STOCKDALE HWY UNIT B, BAKERSFIELD, CA 93311-3626
(661) 664-0314
Mailing address
9610 STOCKDALE HWY UNIT B, BAKERSFIELD, CA 93311-3626
(661) 664-0314
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A12345
STATE OF CALIFORNIA
CA
Enumeration date
02/15/2023
Last updated
07/11/2023
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