Colonial Medical Group, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

COLONIAL MEDICAL GROUP, INC.

Practice address

1801 16TH St Ste B
Bakersfield, CA 93301-5002

Phone

(661) 326-8060

Fax

(661) 326-1349

NPI assigned

Feb 9, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Johnson Jung, M.D.

Title

President

Phone

(661) 326-8060

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1144552522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 16TH ST STE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015002",
            "telephone_number": "661-326-8060",
            "fax_number": "661-326-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 16TH ST STE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015002",
            "telephone_number": "661-326-8060",
            "fax_number": "661-326-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "JOHNSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-326-8060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.