| Personalized Family Medicine, Inc. | |
|
2308 Haggin Oaks Blvd Bakersfield CA 93311-1563 | |
| (661) 201-5409 | |
| Not Available |
| Full Name | Personalized Family Medicine, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2308 Haggin Oaks Blvd, Bakersfield, California |
| Authorized Official Name and Position | Charlotte Ann Rose (PRACTICE MANAGER) |
| Authorized Official Contact | 6612015409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Personalized Family Medicine, Inc. 2308 Haggin Oaks Blvd Bakersfield CA 93311-1563 Ph: (661) 201-5409 | Personalized Family Medicine, Inc. 2308 Haggin Oaks Blvd Bakersfield CA 93311-1563 Ph: (661) 201-5409 |
| NPI Number | 1265853295 |
|---|---|
| Provider Enumeration Date | 12/17/2013 |
| Last Update Date | 12/17/2013 |
| Medicare PECOS PAC ID | 2961628060 |
|---|---|
| Medicare Enrollment ID | O20140725001873 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265853295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 20A5828 (California) | Primary |
| Provider Name | John T Heidrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447252754 PECOS PAC ID: 3870520802 Enrollment ID: I20050721000490 |
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