Healthcare Provider Details
I. General information
NPI: 1720316144
Provider Name (Legal Business Name): WILLIAM N BICHAI MD INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/23/2009
Last Update Date: 09/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3900 SAN DIMAS ST
BAKERSFIELD CA
93301-1458
US
IV. Provider business mailing address
15202 THUNDER VALLEY RD
BAKERSFIELD CA
93314-7222
US
V. Phone/Fax
- Phone: 661-327-8000
- Fax: 661-327-8020
- Phone: 661-327-8000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | A92564 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
WILLIAM
BICHAI
Title or Position: PROVIDER/OWNER
Credential: MD
Phone: 661-327-8000