Healthcare Provider Details

I. General information

NPI: 1336150200
Provider Name (Legal Business Name): BAKERSFIELD CENTER FOR WOMEN'S HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 06/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 EYE ST SUITE 110
BAKERSFIELD CA
93301-2064
US

IV. Provider business mailing address

2525 EYE ST SUITE 110
BAKERSFIELD CA
93301-2064
US

V. Phone/Fax

Practice location:
  • Phone: 661-637-0137
  • Fax: 661-637-0177
Mailing address:
  • Phone: 661-637-0137
  • Fax: 661-637-0177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: MARISOL CASTRO
Title or Position: BILLER
Credential:
Phone: 661-637-0137