Healthcare Provider Details

I. General information

NPI: 1972510949
Provider Name (Legal Business Name): HERRERA INTEGRATED CHIROPRACTIC CORP, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 12/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6001 TRUXTUN AVE STE 180
BAKERSFIELD CA
93309-0693
US

IV. Provider business mailing address

6001 TRUXTUN AVE STE 180
BAKERSFIELD CA
93309-0693
US

V. Phone/Fax

Practice location:
  • Phone: 661-634-9900
  • Fax: 661-903-8888
Mailing address:
  • Phone: 661-634-9900
  • Fax: 661-903-8888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number StateCA

VIII. Authorized Official

Name: DR. RUDY B HERRERA
Title or Position: CHIROPRACTOR PRESIDENT
Credential: DC
Phone: 661-634-9900