Healthcare Provider Details

I. General information

NPI: 1245261262
Provider Name (Legal Business Name): PEDI CENTER, A MEDICAL GROUP INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 STOCKDALE HWY SUITE 108
BAKERSFIELD CA
93311-3620
US

IV. Provider business mailing address

9500 STOCKDALE HWY SUITE 108
BAKERSFIELD CA
93311-3620
US

V. Phone/Fax

Practice location:
  • Phone: 661-410-9500
  • Fax: 661-410-9501
Mailing address:
  • Phone: 661-410-9500
  • Fax: 661-410-9501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. HASMUKH C. AMIN
Title or Position: MEDICAL DIRECTOR / PRESIDENT
Credential: M.D.
Phone: 661-410-9500