Healthcare Provider Details

I. General information

NPI: 1285105387
Provider Name (Legal Business Name): BAKERSFIELD COMMUNITY HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2018
Last Update Date: 11/17/2022
Certification Date: 11/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 OAK ST
BAKERSFIELD CA
93301-3007
US

IV. Provider business mailing address

1801 OAK ST
BAKERSFIELD CA
93301-3007
US

V. Phone/Fax

Practice location:
  • Phone: 818-400-2300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVID DERMENJIAN
Title or Position: OWNER
Credential:
Phone: 661-327-9800