Healthcare Provider Details

I. General information

NPI: 1073979043
Provider Name (Legal Business Name): PROXIMITY MD URGENT CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2016
Last Update Date: 05/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3409 CALLOWAY DR 101
BAKERSFIELD CA
93312-2528
US

IV. Provider business mailing address

3409 CALLOWAY DR 101
BAKERSFIELD CA
93312-2528
US

V. Phone/Fax

Practice location:
  • Phone: 661-829-7050
  • Fax: 661-829-7060
Mailing address:
  • Phone: 661-829-7050
  • Fax: 661-829-7060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberG63146
License Number StateCA

VIII. Authorized Official

Name: DR. ARMANDO ALVAREZ
Title or Position: OWNER
Credential: MD
Phone: 661-829-7050