Organization
ST. JOHN CRITICAL CARE MEDICAL GROUP, INC
Active
Organization
ST. JOHN CRITICAL CARE MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANY S AZIZ MD (OWNER)
(661) 326-9999
Entity
Organization
Contact information
Practice address
3805 SAN DIMAS ST, STE B, BAKERSFIELD, CA 93301-5724
(661) 326-9999
(661) 326-9011
Mailing address
PO BOX 11134, BAKERSFIELD, CA 93389-1134
(661) 326-9999
(661) 326-9011
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A89185
CA
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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