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NPI Code Detail

MEDICARE: CALIFORNIA HEALTHFIRST PHYSICIANS

MEDICARE: CALIFORNIA HEALTHFIRST PHYSICIANS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2208000000XPediatrics Physician
3207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1326214156
Entity Type Code : Organization
Provider Name (Legal Business Name) : CALIFORNIA HEALTHFIRST PHYSICIANS
Provider Business Mailing Address
First Line : PO BOX 10968
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92423-0968
Country : US
Telephone Number : 909-335-7171
Fax Number : 909-335-7140
Provider Business Practice Location Address
First Line : 4909 CENTENNIAL PLAZA WAY
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93312-2011
Country : US
Telephone Number : 661-587-8110
Fax Number : 661-587-8183
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : LISA PERKO
Credential :
Telephone Number : 909-335-7171
Provider Enumeration Date : 05/01/2008
Last Update Date : 05/01/2008

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Directions to “CALIFORNIA HEALTHFIRST PHYSICIANS ” Practice Location

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