Healthcare Provider Details

I. General information

NPI: 1720553902
Provider Name (Legal Business Name): PEDIATRICS FOR ALL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2018
Last Update Date: 07/08/2020
Certification Date: 07/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 F ST STE 210
BAKERSFIELD CA
93301-1850
US

IV. Provider business mailing address

2700 F ST STE 210
BAKERSFIELD CA
93301-1850
US

V. Phone/Fax

Practice location:
  • Phone: 661-631-2229
  • Fax: 661-742-1644
Mailing address:
  • Phone: 616-312-2296
  • Fax: 661-742-1644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: NIRANJAN DASS
Title or Position: PRESIDENT
Credential: M. D.
Phone: 661-631-2229