Healthcare Provider Details

I. General information

NPI: 1821934639
Provider Name (Legal Business Name): SEEJA JOSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 WESTWOLD DR
BAKERSFIELD CA
93311-2153
US

IV. Provider business mailing address

10212 PINNACLE CT
BAKERSFIELD CA
93311-1181
US

V. Phone/Fax

Practice location:
  • Phone: 661-665-9471
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number21301
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: