Organization
SJV MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NED DEVASIA MD (OWNER)
(661) 327-3747
Entity
Organization
Contact information
Practice address
5801 TRUXTUN AVE, BAKERSFIELD, CA 93309-0609
(661) 327-3747
(661) 616-3237
Mailing address
P.O. BOX 2426, BAKERSFIELD, CA 93303-2426
(661) 327-3747
(661) 616-3237
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA134956
PTAN
CA
Enumeration date
11/19/2020
Last updated
11/19/2020
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