| Comprehensive Pediatric & Family Medical Group Inc | |
|
1111 Columbus Street Bakersfield CA 93305 | |
| (661) 326-5052 | |
| (661) 862-7635 |
| Full Name | Comprehensive Pediatric & Family Medical Group Inc |
|---|---|
| Speciality | Pediatrics |
| Location | 1111 Columbus Street, Bakersfield, California |
| Authorized Official Name and Position | Abu Talib Taher (PRESIDENT) |
| Authorized Official Contact | 6613265052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Pediatric & Family Medical Group Inc Po Box 6578 Bakersfield CA 93386 Ph: (661) 326-5052 | Comprehensive Pediatric & Family Medical Group Inc 1111 Columbus Street Bakersfield CA 93305 Ph: (661) 326-5052 |
| NPI Number | 1649293572 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649293572 | NPI | - | NPPES |
| ZZZ65732Z | Other | BLUE CROSS BLUE SHIELD | |
| GR0110010 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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