California Department of Correction/ Rehabilitation
NPI #1699027730 in Tehachapi, California
Provider Information
- NPI Number
- 1699027730
- Entity Type
- Organization
- Organization Name
- California Department of Correction/ Rehabilitation
- Primary Specialty
- Clinic/Center - Prison Health
- Enumeration Date
- Oct 14, 2012
- Last Updated
- Oct 14, 2012
Practice Location
- Address
- 24900 HIGHWAY 202
- City
- Tehachapi
- State
- California
- ZIP Code
- 93561-5558
- Phone
- (661) 822-4402
Authorized Official
- Name
- DR. NGUYET MINH DAM, MD
- Title
- STAFF PSYCHIATRIST
- Phone
- (661) 822-4402
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Prison Health — Prison Health |
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