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Advanced Health Care Of Bakersfield INC

Family Medicine in Bakersfield, CA. Organization (NPI-2).

NPI number1457655771
StatusActive
Last updated in NPPESJun 24, 2015

Details

NPI
1457655771
Entity type
Organization (NPI-2)
Legal business name
Advanced Health Care Of Bakersfield INC
Organization subpart
No
Enumeration date
Dec 29, 2010
Last updated
Jun 24, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

4040 San Dimas St
Suite A
Bakersfield, CA 93301-1298

Phone 661-363-6800 · Fax 661-363-6888

Mailing address

4040 San Dimas St
Suite A
Bakersfield, CA 93301-1298

Phone 661-363-6800 · Fax 661-363-6888

Authorized official

Yakdan T Al Qaisi
M.D./Owner
6613636800

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