| Organization Name: | PACIFIC MEDICAL GROUP |
| NPI Number: | 1417165606 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFREY EDWARDS (PRESIDENT) |
| Mailing Address: | 3201 F St Ste 250 Bakersfield |
| State: | CA US |
| Postal Code: | 933011846 |
| Phone Number: | 6613227500 |
| Fax Number: | 6613227510 |
| NPI Enumeration Date: | 05/19/2007 |
| NPI Last Update Date: | 04/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 00G436350 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |