Envista Medical Neck And Back Center, P.C.
Family Medicine in Bakersfield, CA. Organization (NPI-2).
NPI number1174802532
StatusActive
Last updated in NPPESApr 4, 2023
Details
- NPI
- 1174802532
- Entity type
- Organization (NPI-2)
- Legal business name
- Envista Medical Neck And Back Center, P.C.
- Organization subpart
- No
- Enumeration date
- Aug 16, 2011
- Certification date
- Apr 4, 2023
- Last updated
- Apr 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 20A6314 | CA | Yes |
| 111N00000X | Chiropractor | DC22958 | CA | |
| 207LP2900X | Anesthesiology, Pain Medicine | – | – | |
| 208100000X | Physical Medicine & Rehabilitation | – | – | |
| 363AM0700X | Physician Assistant, Medical | PA17041 | CA | |
| 111N00000X | Chiropractor | DC13886 | CA | |
| 111N00000X | Chiropractor | DC30202 | CA | |
| 111N00000X | Chiropractor | DC30545 | CA |
Other names
- M Teresa Swida Medical PC (Former Legal Business Name)
Practice location
3900 Coffee RdSuite 3
Bakersfield, CA 93308-5049
Phone 661-587-0700 · Fax 661-587-9131
Mailing address
3900 Coffee Rd Ste 3Bakersfield, CA 93308-5050
Phone 661-587-0700 · Fax 661-587-9131
Other practice locations
4029 Westerly Pl Ste 101
Newport Beach, CA 92660-2329
Newport Beach, CA 92660-2329
Phone 855-630-1462
Authorized official
Cheryl Anders
Cfo
6615870700
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