Healthcare Provider Details

I. General information

NPI: 1487670501
Provider Name (Legal Business Name): GIFTED ARMS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 05/22/2023
Certification Date: 05/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 EASTON DR STE 141
BAKERSFIELD CA
93309-9404
US

IV. Provider business mailing address

1400 EASTON DR STE 141
BAKERSFIELD CA
93309-9404
US

V. Phone/Fax

Practice location:
  • Phone: 661-322-9207
  • Fax: 661-322-9208
Mailing address:
  • Phone: 661-322-9207
  • Fax: 661-322-9208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number550000057
License Number StateCA

VIII. Authorized Official

Name: MR. RAMON RONQUILLO
Title or Position: CEO
Credential:
Phone: 661-322-9207