Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 1217 7th St, Wasco, California |
Authorized Official Name and Position | Amandeep K Basra (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6612157721 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
901 Olive Dr Bakersfield CA 93308-4137 Ph: (661) 903-9555 | 1217 7th St Wasco CA 93280-1820 Ph: (661) 215-7721 |
NPI Number | 1073103057 |
---|---|
Provider Enumeration Date | 01/22/2021 |
Last Update Date | 03/25/2021 |
Medicare PECOS PAC ID | 1355308867 |
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Medicare Enrollment ID | O20210423000519 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073103057 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Valley Medical Group Of Kern County, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1147 7th St, Wasco, CA 93280 Phone: 661-758-2449 | |
Vanguard Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 841 7th St, Wasco, CA 93280 Phone: 661-459-1001 | |