Healthcare Provider Details

I. General information

NPI: 1508991241
Provider Name (Legal Business Name): MR. CAIN DAVID URANDAY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 S H ST
BAKERSFIELD CA
93304-5602
US

IV. Provider business mailing address

3321 CHESTER LN #A
BAKERSFIELD CA
93309-7003
US

V. Phone/Fax

Practice location:
  • Phone: 661-398-4303
  • Fax:
Mailing address:
  • Phone: 661-328-1513
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: