Provider Demographics
NPI:1902196256
Name:KERN RURAL WELLNESS CENTERS, INC.
Entity Type:Organization
Organization Name:KERN RURAL WELLNESS CENTERS, INC.
Other - Org Name:ARVIN MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HARJEET
Authorized Official - Middle Name:S
Authorized Official - Last Name:BRAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-316-5555
Mailing Address - Street 1:146 N HILL ST
Mailing Address - Street 2:
Mailing Address - City:ARVIN
Mailing Address - State:CA
Mailing Address - Zip Code:93203-1014
Mailing Address - Country:US
Mailing Address - Phone:661-855-4468
Mailing Address - Fax:661-855-2024
Practice Address - Street 1:146 N HILL ST
Practice Address - Street 2:
Practice Address - City:ARVIN
Practice Address - State:CA
Practice Address - Zip Code:93203-1014
Practice Address - Country:US
Practice Address - Phone:661-855-4468
Practice Address - Fax:661-855-2024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA94530207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty