Healthcare Provider Details

I. General information

NPI: 1881572386
Provider Name (Legal Business Name): DALILA TAPIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2025
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10419 OLYMPIA FIELDS DR
BAKERSFIELD CA
93312-2963
US

IV. Provider business mailing address

10419 OLYMPIA FIELDS DR
BAKERSFIELD CA
93312-2963
US

V. Phone/Fax

Practice location:
  • Phone: 661-549-4087
  • Fax: 661-218-9576
Mailing address:
  • Phone: 661-549-4087
  • Fax: 661-218-9576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number007170
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: