institution
Covenant Community Medical Group, Inc.
General Practice Physician in Bakersfield, California
NPI 1942519558

Covenant Community Medical Group, Inc. is a General Practice Physician based in Bakersfield, CA. Covenant Community Medical Group, Inc. practices in Bakersfield, CA. The NPI Number for Covenant Community Medical Group, Inc. is 1942519558 and holds a License No. G41041 (California).

The current practice location address for Covenant Community Medical Group, Inc. is 3803 Union Ave, Bakersfield, CA and can be reached out via phone at 661-321-9206 and via fax at 661-321-0932.

Location: 3803 Union Ave, Bakersfield, CA, 93305-2400
institution
Provider Profile Details
NPI Number
1942519558
Provider Name
Covenant Community Medical Group, Inc.
Credential
Provider Entity Type
Organization
Address
3803 Union Ave, Bakersfield, CA, 93305-2400
Phone Number
661-321-9206
Fax Number
661-321-0932
Provider Enumeration Date
09/29/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G410410 05 CA
ZZZ27058Z 01 CA MEDICARE
institution
Provider Business Practice Location Address Details
Address
3803 Union Ave
City
State
Zip
93305-2400
Phone Number
661-321-9206
Fax Number
661-321-0932
person
Provider Business Mailing Address Details
Address
3803 Union Ave
City
State
Zip
93305-2400
Phone Number
661-321-9206
Fax Number
661-321-0932
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
G41041 (California)
Definition
Definition to come...
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