Organization
INDEPENDENCE IPA, A MEDICAL GROUP, INC. DBA INDEPENDENCE MEDICAL GROUP
Active
Other names
Independence Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY SVENSON (NETWORK DIRECTOR)
(866) 814-4476
Entity
Organization
Contact information
Practice address
1801 16TH ST, SUITE B, BAKERSFIELD, CA 93301-5002
(866) 814-4476
(866) 814-4478
Mailing address
1801 16TH ST, SUITE B, BAKERSFIELD, CA 93301-5002
(866) 814-4476
(866) 814-4478
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
02/27/2009
Last updated
02/27/2009
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