Healthcare Provider Details

I. General information

NPI: 1730162637
Provider Name (Legal Business Name): ASHOK DHOKIA CPO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/23/2005
Last Update Date: 03/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2023 TRUXTUN AVE
BAKERSFIELD CA
93301-5012
US

IV. Provider business mailing address

PO BOX 1928
BAKERSFIELD CA
93303-1928
US

V. Phone/Fax

Practice location:
  • Phone: 661-281-2127
  • Fax: 661-281-2126
Mailing address:
  • Phone: 661-281-2127
  • Fax: 661-281-2126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License NumberC15263
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: