Healthcare Provider Details

I. General information

NPI: 1508965401
Provider Name (Legal Business Name): MILLENNIUM SURGERY CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 STOCKDALE HWY SUITE 200
BAKERSFIELD CA
93311
US

IV. Provider business mailing address

9300 STOCKDALE HWY SUITE 200
BAKERSFIELD CA
93311
US

V. Phone/Fax

Practice location:
  • Phone: 661-663-3700
  • Fax: 661-663-3737
Mailing address:
  • Phone: 661-663-3700
  • Fax: 661-663-3737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number12000051
License Number StateCA

VIII. Authorized Official

Name: KATHLEEN ALLMAN
Title or Position: CHEIF OPERATING OFFICER
Credential:
Phone: 661-663-3700