Healthcare Provider Details

I. General information

NPI: 1922486406
Provider Name (Legal Business Name): INFUSION AND CLINICAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2015
Last Update Date: 02/09/2024
Certification Date: 02/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 W MICHELTORENA ST
SANTA BARBARA CA
93101-2509
US

IV. Provider business mailing address

PO BOX 22093
BAKERSFIELD CA
93390-2093
US

V. Phone/Fax

Practice location:
  • Phone: 805-617-0091
  • Fax:
Mailing address:
  • Phone: 661-396-7100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberA94530
License Number StateCA

VIII. Authorized Official

Name: DR. HARJEET BRAR
Title or Position: CEO
Credential: MD
Phone: 661-396-7100