MEDICARE: PINNACLE PRIMARY CARE INC

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	207T00000X	Neurological Surgery Physician

General Provider Information

NPI Number	:	1619244688
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PINNACLE PRIMARY CARE INC

Provider Business Mailing Address
First Line	:	7400 DISTRICT BLVD
Second Line	:	STE C
City	:	BAKERSFIELD
State	:	CA
Zip	:	93313-4817
Country	:	US
Telephone Number	:	661-847-9773
Fax Number	:	661-847-7976

Provider Business Practice Location Address
First Line	:	7400 DISTRICT BLVD
Second Line	:	STE C
City	:	BAKERSFIELD
State	:	CA
Zip	:	93313-4817
Country	:	US
Telephone Number	:	661-847-9773
Fax Number	:	661-847-7976

Authorized Official
Title or Position	:	SHAREHOLDER
Name	:	ASELA JUMAO-AS
Credential	:	M.D.
Telephone Number	:	661-847-9773

Provider Enumeration Date	:	11/18/2011
Last Update Date	:	11/18/2011

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Directions to “PINNACLE PRIMARY CARE INC ” Practice Location

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