Active Life Medical & Wellness
Family Medicine in Bakersfield, CA. Organization (NPI-2).
NPI number1144855461
StatusActive
Last updated in NPPESMar 6, 2020
Details
- NPI
- 1144855461
- Entity type
- Organization (NPI-2)
- Legal business name
- Active Life Medical & Wellness
- Organization subpart
- No
- Enumeration date
- Mar 6, 2020
- Certification date
- Mar 6, 2020
- Last updated
- Mar 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 111N00000X | Chiropractor | – | – |
Practice location
3015 Calloway Dr Ste D6Bakersfield, CA 93312-2657
Phone 661-834-1544 · Fax 661-837-2233
Mailing address
3015 Calloway Dr Ste D6Bakersfield, CA 93312-2657
Phone 661-834-1544 · Fax 661-837-2233
Authorized official
Jason Sabol
Provider
6618341544
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