# MICHAEL C TIVNON MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124161229
- **Authorized official:** DR. MICHAEL C TIVNON MD (PRESIDENT OWNER)
- **Authorized official phone:** (661) 663-7600

## Contact information

- **Practice address:** 300 OLD RIVER RD, SUITE 150, BAKERSFIELD, CA 93311-9503
- **Practice address phone:** (661) 663-7600
- **Practice address fax:** (661) 663-7676
- **Mailing address:** 300 OLD RIVER RD, SUITE 150, BAKERSFIELD, CA 93311-9503
- **Mailing address phone:** (661) 663-7600
- **Mailing address fax:** (661) 663-7676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A24851 | CA | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 08/22/2020