Healthcare Provider Details

I. General information

NPI: 1790140101
Provider Name (Legal Business Name): COMTRIX SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2015
Last Update Date: 12/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10611 TOPIARY DR
BAKERSFIELD CA
93306-7810
US

IV. Provider business mailing address

10611 TOPIARY DRIVE TOPIARY GT
BAKERSFIELD CA
93306
US

V. Phone/Fax

Practice location:
  • Phone: 661-706-1976
  • Fax:
Mailing address:
  • Phone: 661-872-3169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number4441
License Number StateNM

VIII. Authorized Official

Name: IVANE FAUSTINE SALAMANCA
Title or Position: PHYSICAL THERAPIST
Credential:
Phone: 661-706-1976