Provider First Line Business Practice Location Address:
4900 CALIFORNIA AVE STE 210B
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:
93309-7080
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-859-9190
Provider Business Practice Location Address Fax Number:
661-282-1896
Provider Enumeration Date:
05/19/2026