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Organization
ENVISTA MEDICAL NECK AND BACK CENTER, P.C.
Active
Organization
ENVISTA MEDICAL NECK AND BACK CENTER, P.C.
Active
Other names
M TERESA SWIDA MEDICAL PC
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANDERS (CFO)
(661) 587-0700
Entity
Organization
Contact information
Practice address
3900 COFFEE RD, SUITE 3, BAKERSFIELD, CA 93308-5049
(661) 587-0700
(661) 587-9131
Mailing address
3900 COFFEE RD STE 3, BAKERSFIELD, CA 93308-5050
(661) 587-0700
(661) 587-9131
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC13886
CA
111N00000X
Chiropractor
DC22958
CA
111N00000X
Chiropractor
DC30202
CA
111N00000X
Chiropractor
DC30545
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
Primary
20A6314
CA
208100000X
Physical Medicine & Rehabilitation Physician
—
—
363AM0700X
Medical Physician Assistant
PA17041
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174802532
GROUP NPI
CA
01
—
ZZZ69252Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
08/16/2011
Last updated
04/04/2023
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