Healthcare Provider Details

I. General information

NPI: 1487407714
Provider Name (Legal Business Name): ANGELA TUN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2024
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 MOUNT VERNON AVE
BAKERSFIELD CA
93306-4018
US

IV. Provider business mailing address

1700 MOUNT VERNON AVE
BAKERSFIELD CA
93306-4018
US

V. Phone/Fax

Practice location:
  • Phone: 661-326-2234
  • Fax: 661-862-7684
Mailing address:
  • Phone: 661-326-7684
  • Fax: 661-862-7684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number24487
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: