Healthcare Provider Details

I. General information

NPI: 1255873246
Provider Name (Legal Business Name): OAK HILLS MEDICAL CORPROATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2016
Last Update Date: 11/05/2021
Certification Date: 11/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8933 PANAMA RD. STE. 104
BAKERSFIELD CA
93241
US

IV. Provider business mailing address

1400 EASTON DR STE. 106
BAKERSFIELD CA
93309-9412
US

V. Phone/Fax

Practice location:
  • Phone: 661-324-4100
  • Fax: 661-324-4600
Mailing address:
  • Phone: 661-324-4100
  • Fax: 661-324-4600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: VINOD KUMAR
Title or Position: CEO
Credential: MD
Phone: 661-829-0074