| Tehachapi Medical Clinic | |
|
1001 W Tehachapi Blvd Suite A-100 Tehachapi CA 93561-2532 | |
| (661) 822-2530 | |
| (661) 822-2536 |
| Full Name | Tehachapi Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1001 W Tehachapi Blvd, Tehachapi, California |
| Authorized Official Name and Position | Mark Alan Pesche (PRESIDENT) |
| Authorized Official Contact | 6618222530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tehachapi Medical Clinic Po Box 2525 Tehachapi CA 93581-2525 Ph: (661) 822-2530 | Tehachapi Medical Clinic 1001 W Tehachapi Blvd Suite A-100 Tehachapi CA 93561-2532 Ph: (661) 822-2530 |
| NPI Number | 1538285697 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 11/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538285697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A5732 (California) | Primary |
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