Healthcare Provider Details

I. General information

NPI: 1831248236
Provider Name (Legal Business Name): CENTRIC HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 03/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 SILLECT AVE SUITE 100
BAKERSFIELD CA
93308-6371
US

IV. Provider business mailing address

PO BOX 1139
BAKERSFIELD CA
93302-1139
US

V. Phone/Fax

Practice location:
  • Phone: 661-323-8384
  • Fax: 661-325-1202
Mailing address:
  • Phone: 661-395-0000
  • Fax: 661-215-6589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BRIJESH BHAMBI
Title or Position: MANAGING PARTNER
Credential: M.D.
Phone: 661-323-8384