Provider Demographics
NPI:1972538254
Name:REMMES, MICHELLE L (MD)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:L
Last Name:REMMES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2263
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93303-2263
Mailing Address - Country:US
Mailing Address - Phone:661-324-2423
Mailing Address - Fax:661-324-0823
Practice Address - Street 1:2021 22ND ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-3802
Practice Address - Country:US
Practice Address - Phone:661-593-6181
Practice Address - Fax:661-793-6552
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC39729207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C397290Medicaid
A37204Medicare UPIN
CA00C397290Medicaid