Organization
BLUE SHIELD PROMISE HEALTHPLAN
Active
Other names
Blue Shield Promise Primary and Urgent Care Lancaster
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN CERF (PRESIDENT & CEO BLUE SHIELD CA PROM)
(510) 607-4376
Entity
Organization
Contact information
Practice address
44426 10TH STREET WEST, SUITE A, LANCASTER, CA 93534
(661) 448-8910
(661) 948-2440
Mailing address
44426 10TH STREET WEST, SUITE A, LANCASTER, CA 93534
(661) 448-8910
(661) 948-2440
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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