Healthcare Provider Details

I. General information

NPI: 1255601746
Provider Name (Legal Business Name): DESIRED BEAUTY SURGICAL & MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2011
Last Update Date: 12/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 21ST ST
BAKERSFIELD CA
93301-4220
US

IV. Provider business mailing address

PO BOX 706
PARAMOUNT CA
90723-0706
US

V. Phone/Fax

Practice location:
  • Phone: 661-327-4400
  • Fax: 661-327-4404
Mailing address:
  • Phone: 661-327-4400
  • Fax: 661-327-4404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberZ0A7647
License Number StateCA

VIII. Authorized Official

Name: DR. FARZIN KERENDIAN
Title or Position: OWNER/MEDICAL DIRECTOR
Credential: D.O., F.A.C.O.S.
Phone: 661-327-4400