Healthcare Provider Details

I. General information

NPI: 1447248851
Provider Name (Legal Business Name): STEVE OKOLI RDCS
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 H ST SUITE C
BAKERSFIELD CA
93301-2800
US

IV. Provider business mailing address

2520 H ST SUITE C
BAKERSFIELD CA
93301-2800
US

V. Phone/Fax

Practice location:
  • Phone: 661-323-2341
  • Fax: 661-323-2344
Mailing address:
  • Phone: 661-323-2341
  • Fax: 661-323-2344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246XS1301X
TaxonomySonography Specialist/Technologist Cardiovascular
License Number92848
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: