| Gevorgyan Medical Center Inc | |
|
3535 San Dimas St Ste 14 Bakersfield CA 93301-1694 | |
| (661) 522-0043 | |
| (661) 885-8086 |
| Full Name | Gevorgyan Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3535 San Dimas St Ste 14, Bakersfield, California |
| Authorized Official Name and Position | Gohar Gevorgyan (DIRECTOR) |
| Authorized Official Contact | 6615220043 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gevorgyan Medical Center Inc 11106 Patagonia Way Bakersfield CA 93306-7412 Ph: (323) 353-8708 | Gevorgyan Medical Center Inc 3535 San Dimas St Ste 14 Bakersfield CA 93301-1694 Ph: (661) 522-0043 |
| NPI Number | 1164992343 |
|---|---|
| Provider Enumeration Date | 11/29/2018 |
| Last Update Date | 11/29/2018 |
| Medicare PECOS PAC ID | 3072850189 |
|---|---|
| Medicare Enrollment ID | O20190128003366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164992343 | NPI | - | NPPES |
| A106174 | Other | CA | STATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gohar Gevorgyan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619107083 PECOS PAC ID: 2668598194 Enrollment ID: I20100922000099 |
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