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Organization
ADVANCED HEALTH CARE OF BAKERSFIELD INC
Active
Organization
ADVANCED HEALTH CARE OF BAKERSFIELD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YAKDAN T AL QAISI M.D. (M.D./OWNER)
(661) 363-6800
Entity
Organization
Contact information
Practice address
4040 SAN DIMAS ST, SUITE A, BAKERSFIELD, CA 93301-1298
(661) 363-6800
(661) 363-6888
Mailing address
4040 SAN DIMAS ST, SUITE A, BAKERSFIELD, CA 93301-1298
(661) 363-6800
(661) 363-6888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6684900001
MEDICARE PTAN
CA
Enumeration date
12/29/2010
Last updated
06/24/2015
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