Organization
SAN MICHAEL PEDIATRICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMAD FARID SHAFIC M.D. (OFFICER)
(661) 587-6464
Entity
Organization
Contact information
Practice address
3612 COFFEE RD STE C, BAKERSFIELD, CA 93308-5027
(661) 587-6464
Mailing address
3612 COFFEE RD STE C, BAKERSFIELD, CA 93308-5027
(661) 587-6464
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A84684
CA
Other
Enumeration date
06/12/2007
Last updated
08/22/2020
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