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General NPI Number Information
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NPI Number | 1336162726
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Entity Type | Organization
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Legal Business Name | EMERGENCY MEDICAL SERVICES GROUP
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 05/05/2010
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Provider Practice Location Address
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Address Line | 2615 EYE ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-2006
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Country | US
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Telephone | 661-323-5918
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Fax | 661-323-4703
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Provider Business Mailing Address
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Address Line | PO BOX 82396
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City | BAKERSFIELD
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State | CA
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Zip | 93380-2396
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Country | US
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Telephone | 661-323-5918
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Fax | 661-323-4703
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. LEAH CHIVINGTON
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Credential |
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Telephone | 661-323-5918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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