Healthcare Provider Details

I. General information

NPI: 1891838470
Provider Name (Legal Business Name): NICHOLAS T. VALOS, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2634 G ST
BAKERSFIELD CA
93301-2814
US

IV. Provider business mailing address

2634 G ST
BAKERSFIELD CA
93301-2814
US

V. Phone/Fax

Practice location:
  • Phone: 661-323-8121
  • Fax: 661-322-3547
Mailing address:
  • Phone: 661-323-8121
  • Fax: 661-322-3547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberG47812
License Number StateCA

VIII. Authorized Official

Name: DR. NICHOLAS THOMAS VALOS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 661-323-8121