Healthcare Provider Details

I. General information

NPI: 1578918199
Provider Name (Legal Business Name): MR. MANISH SOMANI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2016
Last Update Date: 05/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5645 AUBURN ST #B
BAKERSFIELD CA
93306-2870
US

IV. Provider business mailing address

5645 AUBURN ST #B
BAKERSFIELD CA
93306-2870
US

V. Phone/Fax

Practice location:
  • Phone: 661-871-8881
  • Fax: 661-871-8880
Mailing address:
  • Phone: 661-871-8881
  • Fax: 661-871-8880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH45797
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: