| Polyclinic Medical Center, Inc. | |
|
2145 Niles St Bakersfield CA 93305-5007 | |
| (661) 327-5984 | |
| (661) 327-3831 |
| Full Name | Polyclinic Medical Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2145 Niles St, Bakersfield, California |
| Authorized Official Name and Position | Juan A. Monterroso (DOCTOR) |
| Authorized Official Contact | 6613275984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Polyclinic Medical Center, Inc. 2145 Niles St Bakersfield CA 93305-5007 Ph: (661) 327-5984 | Polyclinic Medical Center, Inc. 2145 Niles St Bakersfield CA 93305-5007 Ph: (661) 327-5984 |
| NPI Number | 1053589598 |
|---|---|
| Provider Enumeration Date | 02/19/2008 |
| Last Update Date | 08/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053589598 | NPI | - | NPPES |
| CMM70507H | Medicaid | CA | |
| GR0084450 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | G58893 (California) | Primary |
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