NPI 1730595513

Mastercare Independent Physicians Medical Group INC

Organisation Preferred Provider Organization Bakersfield, CA

Practice location

Address: 4550 California Ave Suite 500, Bakersfield, CA 93309-7012
Phone: (661) 716-7100
Fax: (661) 716-9156

Authorised official

Name: Charles Vincent Phillips
Title: Ipa President
Phone: (661) 716-7100

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1730595513
Entity type: Organization
NPI issued: 1 Jul 2014
Record last updated: 1 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.