1033849344 NPI number — CHILD NEUROLOGY CENTER OF BAKERSFIELD

Table of content: (NPI 1033849344)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033849344 NPI number — CHILD NEUROLOGY CENTER OF BAKERSFIELD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHILD NEUROLOGY CENTER OF BAKERSFIELD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033849344
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/10/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 20787
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BAKERSFIELD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93390-0787
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
661-742-8436
Provider Business Mailing Address Fax Number:
661-999-6655

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5701 YOUNG ST STE 203
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:
93311-8897
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-742-8436
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/10/2022

Additional Information

Authorized Official

Authorized Official Last Name:
DAVID
Authorized Official First Name:
RAYMUND
Authorized Official Middle Name:
ROQUE
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
559-718-6929

Provider Taxonomy Codes

  • Taxonomy code: 2084E0001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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