Healthcare Provider Details

I. General information

NPI: 1083349781
Provider Name (Legal Business Name): SD HEALTHCARE CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2022
Last Update Date: 04/26/2023
Certification Date: 04/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 PARKGATE ST
BAKERSFIELD CA
93311-9280
US

IV. Provider business mailing address

1701 WESTWIND DR STE 224
BAKERSFIELD CA
93301-3047
US

V. Phone/Fax

Practice location:
  • Phone: 661-663-9870
  • Fax: 661-663-9870
Mailing address:
  • Phone: 661-374-4682
  • Fax: 661-663-9870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: SANGEETA DATTA
Title or Position: PRESIDENT
Credential:
Phone: 510-798-5094