| Kern County Neurological Medical Group, Inc | |
|
2701 F Street Bakersfield CA 93301-1817 | |
| (661) 322-3008 | |
| (661) 322-5507 |
| Full Name | Kern County Neurological Medical Group, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2701 F Street, Bakersfield, California |
| Authorized Official Name and Position | Jian Cheng Lin (PRESIDENT) |
| Authorized Official Contact | 6613223008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kern County Neurological Medical Group, Inc 2701 F Street Bakersfield CA 93301-1817 Ph: (661) 322-3008 | Kern County Neurological Medical Group, Inc 2701 F Street Bakersfield CA 93301-1817 Ph: (661) 322-3008 |
| NPI Number | 1306824420 |
|---|---|
| Provider Enumeration Date | 01/09/2006 |
| Last Update Date | 12/20/2023 |
| Certification Date | 01/22/2020 |
| Medicare PECOS PAC ID | 3274599576 |
|---|---|
| Medicare Enrollment ID | O20041208000779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306824420 | NPI | - | NPPES |
| ZZZ82875Z | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Jian Cheng Lin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982683959 PECOS PAC ID: 6002706306 Enrollment ID: I20040318001844 |
| Provider Name | Monette L Lalimar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720147440 PECOS PAC ID: 2466432943 Enrollment ID: I20040723001139 |
| Provider Name | Sameh S Labib |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982771705 PECOS PAC ID: 8921033150 Enrollment ID: I20050927000900 |
| Provider Name | Rolando C Young |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275512675 PECOS PAC ID: 9436343985 Enrollment ID: I20101029000072 |
| Provider Name | Diane B Gearhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578010567 PECOS PAC ID: 4082994058 Enrollment ID: I20161208001173 |
| Provider Name | Yawen Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275821720 PECOS PAC ID: 6507003118 Enrollment ID: I20171017002355 |
| Provider Name | Sheila M Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396242665 PECOS PAC ID: 7517207566 Enrollment ID: I20190329000220 |
| Provider Name | Ling Zhang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710277678 PECOS PAC ID: 6103064175 Enrollment ID: I20200325002883 |
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