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NPI Code Detail

MEDICARE: NATIONWIDE MEDICAL GROUP, INC

MEDICARE: NATIONWIDE MEDICAL GROUP, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QC1500XCommunity Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487701124
Entity Type Code : Organization
Provider Name (Legal Business Name) : NATIONWIDE MEDICAL GROUP, INC
Provider Business Mailing Address
First Line : 7246 REMMET AVE
Second Line :
City : CANOGA PARK
State : CA
Zip : 91303-1531
Country : US
Telephone Number : 818-206-0360
Fax Number : 818-206-0383
Provider Business Practice Location Address
First Line : 1018 21ST ST
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93301-4709
Country : US
Telephone Number : 818-206-0360
Fax Number : 818-206-0383
Authorized Official
Title or Position : DIRECTOR
Name : DR. GEORGE GIRGIS
Credential : M.D.
Telephone Number : 661-861-9967
Provider Enumeration Date : 01/04/2007
Last Update Date : 04/15/2008

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Directions to “NATIONWIDE MEDICAL GROUP, INC ” Practice Location

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