Healthcare Provider Details

I. General information

NPI: 1336305523
Provider Name (Legal Business Name): BAKERSFIELD INJURY & WELLNESS MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2008
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 MING AVE SUITE #170
BAKERSFIELD CA
93309-4689
US

IV. Provider business mailing address

5500 MING AVE SUITE #170
BAKERSFIELD CA
93309-4689
US

V. Phone/Fax

Practice location:
  • Phone: 661-836-2226
  • Fax: 661-836-2223
Mailing address:
  • Phone: 661-836-2226
  • Fax: 661-836-2223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC28356
License Number StateCA

VIII. Authorized Official

Name: DR. ORIENTE M ESPOSO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 661-343-0700