NPI 1801277769

Special Treatment, Education and Prevention Services

Organisation Preferred Provider Organization Bakersfield, CA

Practice location

Address: 3533 Mt Vernon Ave, Bakersfield, CA 93306
Phone: (661) 871-3353
Mailing address: 3533 Mount Vernon Ave, Bakersfield, CA 93306-1545

Authorised official

Name: Linda Eviston
Title: Executive Director
Phone: (661) 871-3353

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 1467854505 (CA)

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Registry record

NPI: 1801277769
Entity type: Organization
NPI issued: 16 Jun 2015
Record last updated: 16 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.