Healthcare Provider Details

I. General information

NPI: 1811337306
Provider Name (Legal Business Name): OSCAR DANIEL LAZCANO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2013
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 OLD RIVER RD STE 105
BAKERSFIELD CA
93311-9505
US

IV. Provider business mailing address

500 OLD RIVER RD STE 105
BAKERSFIELD CA
93311-9505
US

V. Phone/Fax

Practice location:
  • Phone: 661-327-9300
  • Fax: 661-327-9301
Mailing address:
  • Phone: 661-327-9300
  • Fax: 661-327-9301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberA166958
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: