Healthcare Provider Details

I. General information

NPI: 1023066768
Provider Name (Legal Business Name): MARIA JOY VINLUAN-FELIX P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIA JOY VINLUAN P.A.-C

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 08/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2615 CHESTER AVE SURGERY DEPARTMENT
BAKERSFIELD CA
93301-2014
US

IV. Provider business mailing address

2615 CHESTER AVE SURGERY DEPARTMENT
BAKERSFIELD CA
93301-2014
US

V. Phone/Fax

Practice location:
  • Phone: 661-395-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA-277
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA-19971
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: