Healthcare Provider Details

I. General information

NPI: 1376725374
Provider Name (Legal Business Name): VALLEY MEDICAL GROUP OF KERN COUNTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2007
Last Update Date: 04/09/2008
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