| Premier Valley Medical Group | |
|
1311 Columbus St Bakersfield CA 93305-2010 | |
| (661) 379-6061 | |
| Not Available |
| Full Name | Premier Valley Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 1311 Columbus St, Bakersfield, California |
| Authorized Official Name and Position | Harjeet S Brar (PRESIDENT/CEO) |
| Authorized Official Contact | 6613967100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Valley Medical Group Po Box 22093 Bakersfield CA 93390-2093 Ph: (661) 735-8860 | Premier Valley Medical Group 1311 Columbus St Bakersfield CA 93305-2010 Ph: (661) 379-6061 |
| NPI Number | 1881242147 |
|---|---|
| Provider Enumeration Date | 08/29/2019 |
| Last Update Date | 02/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881242147 | NPI | - | NPPES |
| 00A945301 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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