Healthcare Provider Details

I. General information

NPI: 1144529249
Provider Name (Legal Business Name): BETH CARON SPIEGEL PHARM.D., J.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2011
Last Update Date: 03/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9530 HAGEMAN RD SUITE B-359
BAKERSFIELD CA
93312-3959
US

IV. Provider business mailing address

9530 HAGEMAN RD SUITE B-359
BAKERSFIELD CA
93312-3959
US

V. Phone/Fax

Practice location:
  • Phone: 661-709-7396
  • Fax: 661-721-6252
Mailing address:
  • Phone: 661-709-7396
  • Fax: 661-721-6252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number37109
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number8404
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: