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NPI Code Detail

MEDICARE: DESIRAY SUMLIN

MEDICARE: DESIRAY SUMLIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker
2390200000XStudent in an Organized Health Care Education/Training ProgramCA
3373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1295452308
Entity Type Code : Individual
Provider Name (Legal Business Name) : DESIRAY SUMLIN
Provider Business Mailing Address
First Line : PO BOX 1000
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93302-1000
Country : US
Telephone Number : 661-868-6461
Fax Number :
Provider Business Practice Location Address
First Line : 17695 INDUSTRIAL FARM RD
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93308-9520
Country : US
Telephone Number : 661-868-6461
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2022
Last Update Date : 05/21/2026

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Directions to “ DESIRAY SUMLIN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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