Organization
PRIMECARE PHYSICIANS MEDICAL GRP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMBIKA SOFTA MD (OWNER)
(661) 599-1555
Entity
Organization
Contact information
Practice address
9900 STOCKDALE HWY STE 200, BAKERSFIELD, CA 93311-3634
(661) 599-1555
(661) 000-0000
Mailing address
9900 STOCKDALE HWY STE 200, BAKERSFIELD, CA 93311-3634
(661) 599-1555
(661) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770580912
NPI
CA
01
—
1902954738
NPI
CA
01
—
DC0211350
BLUE SHIELD UPIN
CA
Enumeration date
02/12/2008
Last updated
04/18/2022
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