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Organization

GEM PHYSICIANS MEDICAL GROUP INC

Active
Parent organization
GEM PHYSICIANS MEDICAL GROUP INC
Other names
GMA Healthcare Providers
Organization subpart
Yes

Provider details

NPI number
Legal business name
GEM PHYSICIANS MEDICAL GROUP INC
Authorized official
CHARLES VINCENT PHILLIPS MD (OWNER)
(661) 665-0505
Entity
Organization

Contact information

Practice address
3737 SAN DIMAS ST STE 101, BAKERSFIELD, CA 93301-5733
(661) 716-7100
Mailing address
4550 CALIFORNIA AVE STE 610, BAKERSFIELD, CA 93309-7012
(661) 716-7100
(661) 716-5484

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
208000000X
Pediatrics Physician
208100000X
Physical Medicine & Rehabilitation Physician
208800000X
Urology Physician
208M00000X
Hospitalist Physician

Other

Enumeration date
08/30/2017
Last updated
10/30/2017
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