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INFUSION AND CLINICAL SERVICES INC. NPI 1083952857


NPI Information

NPI: 1083952857
Provider Name: INFUSION AND CLINICAL SERVICES, INC.

Doing Business As: PREMIER VALLEY MEDICAL GROUP

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 05D2224595

Address:
5401 WHITE LN
BAKERSFIELD, CA
ZIP 93309
Phone: (661) 396-7100
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INFUSION AND CLINICAL SERVICES, INC. is a primary care clinic center in Bakersfield, CA. INFUSION AND CLINICAL SERVICES, INC. NPI is 1083952857. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Premier Valley Medical Group.

The provider's business location address is:

5401 WHITE LN
BAKERSFIELD, CA
ZIP 93309-279
Phone: (661) 396-7100

The provider's authorized official is Harjeet S Brar .
The authorized official title is Owner/ President and has the following contact phone number (661) 396-7100.

The CLIA number assigned to this NPI record is 05D2224595 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2013 and was last updated on 2/9/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineNo
42084P0800XPsychiatry & NeurologyPsychiatryNo
5208600000XSurgeryNo
6261QM1300XClinic/CenterMulti-SpecialtyNo
7261QU0200XClinic/CenterUrgent CareNo
8261QP2300XClinic/CenterPrimary CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1HF871AOTHERCALIFORNIAPTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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