Provider Demographics
NPI:1972183648
Name:ARISE PSYCHIATRIC MEDICAL GROUP INC
Entity Type:Organization
Organization Name:ARISE PSYCHIATRIC MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KINGWAI
Authorized Official - Middle Name:
Authorized Official - Last Name:LUI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:626-696-0880
Mailing Address - Street 1:8200 STOCKDALE HWY
Mailing Address - Street 2:SUITE M10 BOX 329
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311
Mailing Address - Country:US
Mailing Address - Phone:949-466-5666
Mailing Address - Fax:
Practice Address - Street 1:1500 HAGGIN OAKS BLVD STE 202
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-1333
Practice Address - Country:US
Practice Address - Phone:661-735-3887
Practice Address - Fax:661-836-5545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty