Healthcare Provider Details

I. General information

NPI: 1609616929
Provider Name (Legal Business Name): ALPHA PRACTICE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2024
Last Update Date: 09/25/2024
Certification Date: 09/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 CALIFORNIA AVE STE 210B
BAKERSFIELD CA
93309-7080
US

IV. Provider business mailing address

4900 CALIFORNIA AVE STE 210B
BAKERSFIELD CA
93309-7080
US

V. Phone/Fax

Practice location:
  • Phone: 559-354-0380
  • Fax:
Mailing address:
  • Phone: 559-354-0380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: BRANDY SALAZAR
Title or Position: OWNER
Credential:
Phone: 559-354-0380