Healthcare Provider Details
I. General information
NPI: 1801356829
Provider Name (Legal Business Name): ABEL EDUARDO ROJAS-PARRA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/25/2019
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
815 DR MARTIN LUTHER KING JR BLVD
BAKERSFIELD CA
93307-9901
US
IV. Provider business mailing address
815 DR MARTIN LUTHER KING JR BLVD
BAKERSFIELD CA
93307-9901
US
V. Phone/Fax
- Phone: 661-322-3905
- Fax: 661-322-1370
- Phone: 661-322-3905
- Fax: 661-322-1370
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | A177118 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QG0300X |
| Taxonomy | Geriatric Medicine (Family Medicine) Physician |
| License Number | A177118 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: