MEDICARE: INTEGRITY FAMILY HEALTH NETWORK

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
1	103TC0700X	Clinical Psychologist
2	251S00000X	Community/Behavioral Health Agency	22426	CA

General Provider Information

NPI Number	:	1336638956
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRITY FAMILY HEALTH NETWORK

Provider Business Mailing Address
First Line	:	5251 OFFICE PARK DR STE 201
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93309-0667
Country	:	US
Telephone Number	:	661-859-7524
Fax Number	:	661-200-6144

Provider Business Practice Location Address
First Line	:	5401 BUSINESS PARK S STE 124
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93309-0714
Country	:	US
Telephone Number	:	661-859-7524
Fax Number	:	661-200-6144

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. ANGELA ARHONA EGBIKUADJE
Credential	:	PH.D
Telephone Number	:	661-859-7524

Provider Enumeration Date	:	05/09/2018
Last Update Date	:	09/12/2018

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