Healthcare Provider Details

I. General information

NPI: 1578467163
Provider Name (Legal Business Name): BRIDGE CARE CLINIC, PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 SAN DIMAS ST STE 24
BAKERSFIELD CA
93301-1692
US

IV. Provider business mailing address

3535 SAN DIMAS ST STE 24
BAKERSFIELD CA
93301-1692
US

V. Phone/Fax

Practice location:
  • Phone: 626-476-0941
  • Fax:
Mailing address:
  • Phone: 626-476-0941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: AUNG MOE
Title or Position: CEO
Credential: MD
Phone: 626-476-0941