Healthcare Provider Details

I. General information

NPI: 1609507540
Provider Name (Legal Business Name): LUZ ELENA ALMANZA RENTERIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2022
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3117 WILSON RD
BAKERSFIELD CA
93304-5319
US

IV. Provider business mailing address

3117 WILSON RD
BAKERSFIELD CA
93304-5319
US

V. Phone/Fax

Practice location:
  • Phone: 661-324-4756
  • Fax:
Mailing address:
  • Phone: 661-324-4756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number139593
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: