Healthcare Provider Details

I. General information

NPI: 1396289518
Provider Name (Legal Business Name): JONAH LAHIP NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2016
Last Update Date: 12/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 WHITE LN #45
BAKERSFIELD CA
93309-7789
US

IV. Provider business mailing address

6500 WHITE LN #45
BAKERSFIELD CA
93309-7789
US

V. Phone/Fax

Practice location:
  • Phone: 714-470-9387
  • Fax:
Mailing address:
  • Phone: 714-470-9387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number95004556
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95004556
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: