| Kern Physicians Medical Group, Inc. | |
|
606 34th St Bakersfield CA 93301-2208 | |
| (661) 322-8611 | |
| (661) 322-8008 |
| Full Name | Kern Physicians Medical Group, Inc. |
|---|---|
| Speciality | Pain Medicine |
| Location | 606 34th St, Bakersfield, California |
| Authorized Official Name and Position | Fakhruddin Hasta (PRESIDENT) |
| Authorized Official Contact | 6113228611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kern Physicians Medical Group, Inc. Po Box 669 Bakersfield CA 93302-0669 Ph: (661) 322-8611 | Kern Physicians Medical Group, Inc. 606 34th St Bakersfield CA 93301-2208 Ph: (661) 322-8611 |
| NPI Number | 1922035203 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8527063981 |
|---|---|
| Medicare Enrollment ID | O20060919000358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922035203 | NPI | - | NPPES |
| 2861245 | Other | CA | CORPORATE NUMBER |
| Provider Name | Fakhruddin Hasta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316974694 PECOS PAC ID: 5799751525 Enrollment ID: I20040902001382 |
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