Provider Demographics
NPI:1306812508
Name:KERN CARDIOLOGY MEDICAL GROUP INC
Entity type:Organization
Organization Name:KERN CARDIOLOGY MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SARABJIT
Authorized Official - Middle Name:KANG
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-327-0807
Mailing Address - Street 1:4000 PHYSICIANS BLVD
Mailing Address - Street 2:BUILDING E SUITE 101
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-1284
Mailing Address - Country:US
Mailing Address - Phone:661-327-0807
Mailing Address - Fax:661-327-7593
Practice Address - Street 1:4000 PHYSICIANS BLVD
Practice Address - Street 2:BUILDING E SUITE 101
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-5839
Practice Address - Country:US
Practice Address - Phone:661-327-0807
Practice Address - Fax:661-327-7593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-27
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0080820Medicaid
CAGR0080820Medicaid
CA060046428Medicare ID - Type UnspecifiedTRAVELERS