Healthcare Provider Details
I. General information
NPI: 1841368925
Provider Name (Legal Business Name): GEORGE YAPLEE MEDICAL CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/30/2006
Last Update Date: 04/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9700 BRIMHALL RD
BAKERSFIELD CA
93312-2777
US
IV. Provider business mailing address
9700 BRIMHALL RD
BAKERSFIELD CA
93312-2777
US
V. Phone/Fax
- Phone: 661-631-2020
- Fax: 661-829-8657
- Phone: 661-631-2020
- Fax: 661-829-8657
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332H00000X |
| Taxonomy | Eyewear Supplier |
| License Number | |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | CA |
VIII. Authorized Official
Name: MRS.
KRISTY
WOOD
Title or Position: PRACTICE MANAGER
Credential: RN
Phone: 661-631-2020