Organization
ADVANCED HEALTH GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HELLIWELL M.D. (OWNER)
(661) 410-2942
Entity
Organization
Contact information
Practice address
8501 BRIMHALL RD, 300, BAKERSFIELD, CA 93312-2252
(661) 410-2942
(661) 410-0135
Mailing address
15550 ROCKFIELD BLVD, B220, IRVINE, CA 92618-2720
(949) 598-9999
(949) 598-9990
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A74796
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A74796
LICENSE
CA
Enumeration date
09/23/2010
Last updated
09/23/2010
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