Organization
COMPREHENSIVE PEDIATRIC & FAMILY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABU TALIB TAHER MD (PRESIDENT)
(661) 326-5052
Entity
Organization
Contact information
Practice address
1111 COLUMBUS STREET, BAKERSFIELD, CA 93305
(661) 326-5052
(661) 862-7635
Mailing address
PO BOX 6578, BAKERSFIELD, CA 93386
(661) 326-5052
(661) 862-7635
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0110010
—
CA
01
—
ZZZ65732Z
BLUE CROSS BLUE SHIELD
—
Enumeration date
07/25/2006
Last updated
09/11/2025
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