| Geriheal Pc | |
|
4900 California Ave Ste 210b Bakersfield CA 93309-7080 | |
| (310) 963-0365 | |
| Not Available |
| Full Name | Geriheal Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4900 California Ave Ste 210b, Bakersfield, California |
| Authorized Official Name and Position | Brittany Brinley (PHYSICIAN OWNER) |
| Authorized Official Contact | 3109054581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriheal Pc 4900 California Ave Ste 210b Bakersfield CA 93309-7080 Ph: (310) 963-0365 | Geriheal Pc 4900 California Ave Ste 210b Bakersfield CA 93309-7080 Ph: (310) 963-0365 |
| NPI Number | 1760014120 |
|---|---|
| Provider Enumeration Date | 02/04/2020 |
| Last Update Date | 05/05/2020 |
| Medicare PECOS PAC ID | 7416386800 |
|---|---|
| Medicare Enrollment ID | O20200407000063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760014120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Aziz A Rasooli |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194295469 PECOS PAC ID: 2769722024 Enrollment ID: I20190322001852 |
| Provider Name | Brittany Brinley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649616855 PECOS PAC ID: 7719278613 Enrollment ID: I20200407000077 |
| Provider Name | Rachel Gerard-buonomo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477164689 PECOS PAC ID: 7315357035 Enrollment ID: I20201109003099 |
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