| Edward L Nichols Md A Medical Corporation | |
|
3801 San Dimas St Bakersfield CA 93301-5731 | |
| (661) 323-8477 | |
| Not Available |
| Full Name | Edward L Nichols Md A Medical Corporation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3801 San Dimas St, Bakersfield, California |
| Authorized Official Name and Position | Edward Lee Nichols (OWNER) |
| Authorized Official Contact | 6613238477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward L Nichols Md A Medical Corporation 3801 San Dimas St Bakersfield CA 93301-5731 Ph: (661) 323-8477 | Edward L Nichols Md A Medical Corporation 3801 San Dimas St Bakersfield CA 93301-5731 Ph: (661) 323-8477 |
| NPI Number | 1386898815 |
|---|---|
| Provider Enumeration Date | 11/11/2008 |
| Last Update Date | 05/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386898815 | NPI | - | NPPES |
| A044178 | Other | CA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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