Healthcare Provider Details

I. General information

NPI: 1457867616
Provider Name (Legal Business Name): PHMB URGENT CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2017
Last Update Date: 12/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5401 WHITE LN
BAKERSFIELD CA
93309-6279
US

IV. Provider business mailing address

5401 WHITE LN
BAKERSFIELD CA
93309-6279
US

V. Phone/Fax

Practice location:
  • Phone: 661-396-7100
  • Fax: 661-396-7101
Mailing address:
  • Phone: 661-396-7100
  • Fax: 661-396-7101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA61907
License Number StateCA

VIII. Authorized Official

Name: HARJEET S BRAR
Title or Position: CEO/PRESIDENT
Credential: MD
Phone: 661-316-5555