Healthcare Provider Details

I. General information

NPI: 1699468736
Provider Name (Legal Business Name): MS. DAYSI ABIGAIL MEZA FLORES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2023
Last Update Date: 06/02/2023
Certification Date: 06/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3715 COLUMBUS ST
BAKERSFIELD CA
93306-2719
US

IV. Provider business mailing address

327 RAY ST
BAKERSFIELD CA
93308-2445
US

V. Phone/Fax

Practice location:
  • Phone: 661-520-6273
  • Fax:
Mailing address:
  • Phone: 661-440-9645
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberF5020298
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: