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Advanced Adult Clinic, INC.

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

NPI number1710424130
StatusActive
Last updated in NPPESJan 31, 2017

Details

NPI
1710424130
Entity type
Organization (NPI-2)
Legal business name
Advanced Adult Clinic, INC.
Organization subpart
No
Enumeration date
Jan 24, 2017
Last updated
Jan 31, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RA0000X Internal Medicine, Adolescent Medicine–CAYes

Practice location

1326 H St Ste 1
Bakersfield, CA 93301-5134

Phone 661-679-6947 · Fax 661-679-6949

Mailing address

1326 H St Ste 1
Bakersfield, CA 93301-5134

Phone 661-679-6947 · Fax 661-679-6949

Authorized official

Archie Palis Bella
Director
7189869228

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