Healthcare Provider Details

I. General information

NPI: 1144475906
Provider Name (Legal Business Name): WHITE LANE URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2008
Last Update Date: 11/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5401 WHITE LN
BAKERSFIELD CA
93309-6279
US

IV. Provider business mailing address

PO BOX 11510
BAKERSFIELD CA
93389-1510
US

V. Phone/Fax

Practice location:
  • Phone: 661-836-4000
  • Fax: 661-847-4097
Mailing address:
  • Phone: 661-836-4000
  • Fax: 661-847-4097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberFNP36600
License Number StateCA

VIII. Authorized Official

Name: DR. CARLOS ARTURO ALVAREZ
Title or Position: PRESIDENT/OWNER
Credential: M.D.
Phone: 661-836-4000