| Comprehensive Care Clinic Medical Corporation | |
|
2615 H St Bakersfield CA 93301-2819 | |
| (661) 665-8656 | |
| Not Available |
| Full Name | Comprehensive Care Clinic Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 2615 H St, Bakersfield, California |
| Authorized Official Name and Position | Raju B Patel (PHYSICIAN) |
| Authorized Official Contact | 6616353000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Care Clinic Medical Corporation 2615 H St Bakersfield CA 93301-2819 Ph: (661) 665-8656 | Comprehensive Care Clinic Medical Corporation 2615 H St Bakersfield CA 93301-2819 Ph: (661) 665-8656 |
| NPI Number | 1396873964 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 02/10/2014 |
| Medicare PECOS PAC ID | 4789629080 |
|---|---|
| Medicare Enrollment ID | O20050627001355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396873964 | NPI | - | NPPES |
| 00A512800 | Medicaid | CA | |
| 00A632290 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 00A632290 (California) | Secondary |
| 207R00000X | Internal Medicine | 00A512800 (California) | Primary |
| Provider Name | Raju B Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538172754 PECOS PAC ID: 2961549068 Enrollment ID: I20091022000216 |
| Provider Name | Sandeep Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316671902 PECOS PAC ID: 0941686679 Enrollment ID: I20221004002838 |
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