Healthcare Provider Details

I. General information

NPI: 1215406996
Provider Name (Legal Business Name): ALFREDO PASTOR RNFA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/25/2018
Last Update Date: 11/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9510 LAKE SUPERIOR DR
BAKERSFIELD CA
93312-6246
US

IV. Provider business mailing address

9510 LAKE SUPERIOR DR
BAKERSFIELD CA
93312-6246
US

V. Phone/Fax

Practice location:
  • Phone: 714-915-2985
  • Fax:
Mailing address:
  • Phone: 714-915-2985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number581074
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: