Healthcare Provider Details

I. General information

NPI: 1790230761
Provider Name (Legal Business Name): OAK HILLS MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2016
Last Update Date: 11/05/2021
Certification Date: 11/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 HAGGIN OAKS BLVD 202
BAKERSFIELD CA
93311-1332
US

IV. Provider business mailing address

PO BOX 748792
LOS ANGELES CA
90074-8792
US

V. Phone/Fax

Practice location:
  • Phone: 661-654-8346
  • Fax: 661-654-8337
Mailing address:
  • Phone: 661-324-4100
  • Fax: 661-324-4600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: VINOD KUMAR
Title or Position: OWNER / MEDICAL DIRECTOR
Credential: MD
Phone: 661-324-4100