Healthcare Provider Details

I. General information

NPI: 1932934445
Provider Name (Legal Business Name): WHITNEY GUERRERO MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2024
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 22ND ST
BAKERSFIELD CA
93301-3802
US

IV. Provider business mailing address

2021 22ND ST
BAKERSFIELD CA
93301-3802
US

V. Phone/Fax

Practice location:
  • Phone: 661-864-7076
  • Fax:
Mailing address:
  • Phone: 661-864-7076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WHITNEY MELISSA GUERRERO
Title or Position: OWNER
Credential: MD
Phone: 661-864-7076