Healthcare Provider Details
I. General information
NPI: 1285079608
Provider Name (Legal Business Name): BERKAY UNAL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/30/2013
Last Update Date: 10/14/2021
Certification Date: 10/14/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
300 OLD RIVER RD STE 200
BAKERSFIELD CA
93311-9506
US
IV. Provider business mailing address
PO BOX 2287
BAKERSFIELD CA
93303-2287
US
V. Phone/Fax
- Phone: 661-663-6550
- Fax:
- Phone: 661-324-0300
- Fax: 661-324-4095
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | A125394 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XX0005X |
| Taxonomy | Sports Medicine (Orthopaedic Surgery) Physician |
| License Number | A125394 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: