Healthcare Provider Details

I. General information

NPI: 1275627341
Provider Name (Legal Business Name): BYRON S K MUI M D F A C P A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 03/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 19TH STREET
BAKERSFIELD CA
93301-3609
US

IV. Provider business mailing address

2222 19TH STREET
BAKERSFIELD CA
93301-3609
US

V. Phone/Fax

Practice location:
  • Phone: 661-328-0800
  • Fax: 661-328-0800
Mailing address:
  • Phone: 661-328-0800
  • Fax: 661-325-7425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberG58099
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberG58099
License Number StateCA

VIII. Authorized Official

Name: BYRON S.K. MUI
Title or Position: OWNER
Credential: MD
Phone: 661-328-0800