Provider First Line Business Practice Location Address: 
1800 WESTWIND DR
    Provider Second Line Business Practice Location Address: 
BUILDING 500
    Provider Business Practice Location Address City Name: 
BAKERSFIELD
    Provider Business Practice Location Address State Name: 
CA
    Provider Business Practice Location Address Postal Code: 
93301-3055
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
661-377-1700
    Provider Business Practice Location Address Fax Number: 
661-616-9199
    Provider Enumeration Date: 
08/27/2013