| Kern Integrity Medical Group, Inc. | |
|
507 W Columbus St Bakersfield CA 93301-1263 | |
| (661) 328-7070 | |
| (661) 328-8807 |
| Full Name | Kern Integrity Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 507 W Columbus St, Bakersfield, California |
| Authorized Official Name and Position | Araceli B. Castanares (PRESIDENT) |
| Authorized Official Contact | 6613287070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kern Integrity Medical Group, Inc. 507 W Columbus St Bakersfield CA 93301-1263 Ph: (661) 328-7070 | Kern Integrity Medical Group, Inc. 507 W Columbus St Bakersfield CA 93301-1263 Ph: (661) 328-7070 |
| NPI Number | 1932401981 |
|---|---|
| Provider Enumeration Date | 11/24/2010 |
| Last Update Date | 11/24/2010 |
| Medicare PECOS PAC ID | 5496941478 |
|---|---|
| Medicare Enrollment ID | O20101202000618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932401981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A53492 (California) | Primary |
| Provider Name | Araceli B Castanares |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1356423669 PECOS PAC ID: 2567658545 Enrollment ID: I20101202000668 |
| Provider Name | Araceli B Castanares |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356423669 PECOS PAC ID: 2567658545 Enrollment ID: I20141007000179 |
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