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General NPI Number Information
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NPI Number | 1437921137
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Entity Type | Organization
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Legal Business Name | SYNCHRONY MEDICAL GROUP
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Dates
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Enumeration Date | 10/25/2023
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 20111 W VALLEY BLVD
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City | TEHACHAPI
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State | CA
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Zip | 93561-8747
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Country | US
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Telephone | 661-836-5004
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Fax | 661-836-5088
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Provider Business Mailing Address
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Address Line | 9500 STOCKDALE HWY STE 100
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City | BAKERSFIELD
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State | CA
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Zip | 93311-3621
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Country | US
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Telephone | 661-836-5004
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GEETESHWAR SINGH MANGAT
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Credential | MD
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Telephone | 951-288-3306
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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