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Organization

COMPREHENSIVE CARE CLINIC MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAJU B PATEL M.D. (PHYSICIAN)
(661) 635-3000
Entity
Organization

Contact information

Practice address
2615 H ST, BAKERSFIELD, CA 93301-2819
(661) 665-8656
Mailing address
2615 H ST, BAKERSFIELD, CA 93301-2819
(661) 665-8656

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
00A632290
CA
207R00000X
Internal Medicine Physician
Primary
00A512800
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A512800
CA
05
00A632290
CA
Enumeration date
03/02/2007
Last updated
02/10/2014
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