Healthcare Provider Details

I. General information

NPI: 1700677929
Provider Name (Legal Business Name): TEHACHAPI HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2025
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20221 VALLEY BLVD UNIT 1
TEHACHAPI CA
93561
US

IV. Provider business mailing address

14813 BROMSHIRE ST
BAKERSFIELD CA
93311-8424
US

V. Phone/Fax

Practice location:
  • Phone: 661-431-4915
  • Fax:
Mailing address:
  • Phone: 661-431-4915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOEL FRIGILLANA
Title or Position: DIRECTOR
Credential:
Phone: 661-431-4915