MEDICARE: OAK HILLS MEDICAL CORPORATION

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	2085U0001X	Diagnostic Ultrasound Physician

General Provider Information

NPI Number	:	1851833602
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OAK HILLS MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	1400 EASTON DR
Second Line	:	STE. 106
City	:	BAKERSFIELD
State	:	CA
Zip	:	93309-9412
Country	:	US
Telephone Number	:	661-324-4100
Fax Number	:	661-324-4600

Provider Business Practice Location Address
First Line	:	5923 OFFICE CENTER CT.
Second Line	:	STE. 100
City	:	BAKERSFIELD
State	:	CA
Zip	:	93309
Country	:	US
Telephone Number	:	661-324-4100
Fax Number	:	661-324-4600

Authorized Official
Title or Position	:	CEO
Name	:	VINOD KUMAR
Credential	:	M.D.
Telephone Number	:	661-829-0074

Provider Enumeration Date	:	11/10/2016
Last Update Date	:	11/05/2021

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