Organization
GOLDEN EMPIRE MANAGED CARE, A MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN L RISTENPART (PROVIDER RELATIONS)
(661) 716-7100
Entity
Organization
Contact information
Practice address
4550 CALIFORNIA AVE, STE 500, BAKERSFIELD, CA 93309-7012
(661) 716-7100
(661) 716-9211
Mailing address
4550 CALIFORNIA AVE, STE 500, BAKERSFIELD, CA 93309-7012
(661) 716-7100
(661) 716-9211
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
C2807675
CA
Other
Enumeration date
03/19/2007
Last updated
06/13/2008
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