MEDICARE: MA LINDA AUREA VALENCERINA RAMOS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	63285	CA

General Provider Information

NPI Number	:	1518383041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MA LINDA AUREA VALENCERINA RAMOS

Provider Business Mailing Address
First Line	:	13401 RODIN ST
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93314-6921
Country	:	US
Telephone Number	:	661-432-8381
Fax Number	:

Provider Business Practice Location Address
First Line	:	4900 CALIFORNIA AVE STE 100B
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93309-7027
Country	:	US
Telephone Number	:	866-707-6664
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2014
Last Update Date	:	03/14/2022

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