Provider First Line Business Practice Location Address:
5080 CALIFORNIA AVE STE 250
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-0732
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-856-0800
Provider Business Practice Location Address Fax Number:
855-568-2494
Provider Enumeration Date:
11/02/2026