Healthcare Provider Details

I. General information

NPI: 1669919965
Provider Name (Legal Business Name): ANTHONIA AKABIKE MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2017
Last Update Date: 02/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5121 STOCKDALE HWY SUITE 275
BAKERSFIELD CA
93309
US

IV. Provider business mailing address

5121 STOCKDALE HWY SUITE 275
BAKERSFIELD CA
93309
US

V. Phone/Fax

Practice location:
  • Phone: 661-868-5000
  • Fax: 661-836-8834
Mailing address:
  • Phone: 661-868-5000
  • Fax: 661-836-8834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: