Healthcare Provider Details

I. General information

NPI: 1629899901
Provider Name (Legal Business Name): LORENZO SEN NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2024
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 EMPIRE DR STE 120
BAKERSFIELD CA
93309-0408
US

IV. Provider business mailing address

277 BLOOMINGTON AVE UNIT 220
RIALTO CA
92376-6494
US

V. Phone/Fax

Practice location:
  • Phone: 866-903-3376
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95032400
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: