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General NPI Number Information
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NPI Number | 1922035203
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Entity Type | Organization
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Legal Business Name | KERN PHYSICIANS MEDICAL GROUP
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 606 34TH ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-2208
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Country | US
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Telephone | 661-322-8611
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Fax | 661-322-8008
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Provider Business Mailing Address
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Address Line | PO BOX 669
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City | BAKERSFIELD
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State | CA
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Zip | 93302-0669
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Country | US
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Telephone | 661-322-8611
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Fax | 661-322-8008
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FAKHRUDDIN HASTA
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Credential | M.D.
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Telephone | 611-322-8611
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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 | A50871
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | A63225
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 20A5922
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 20A9285
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License Number State | CA
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