Healthcare Provider Details

I. General information

NPI: 1568111284
Provider Name (Legal Business Name): ALENA RAQUEL CAVE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 03/28/2022
Certification Date: 03/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 MOUNT VERNON AVE # 39
BAKERSFIELD CA
93306-4018
US

IV. Provider business mailing address

5006 OCEAN LN
ELK GROVE CA
95757-2543
US

V. Phone/Fax

Practice location:
  • Phone: 661-326-2237
  • Fax: 661-326-2235
Mailing address:
  • Phone: 650-773-5506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: