Healthcare Provider Details

I. General information

NPI: 1972807618
Provider Name (Legal Business Name): KATAYOUN SABETIAN MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2011
Last Update Date: 01/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2323 16TH ST STE 206
BAKERSFIELD CA
93301-3453
US

IV. Provider business mailing address

2323 16TH ST STE 206
BAKERSFIELD CA
93301-3453
US

V. Phone/Fax

Practice location:
  • Phone: 661-322-4601
  • Fax:
Mailing address:
  • Phone: 661-322-4601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberG074923
License Number StateCA

VIII. Authorized Official

Name: DR. KATAYOUN SABETIAN
Title or Position: OWNER
Credential: MD
Phone: 661-322-4601