# KERN RIVER SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1700541877
- **Authorized official:** RALPH MOZINGO (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (805) 563-0363

## Contact information

- **Practice address:** 2901 SILLECT AVE STE 203, BAKERSFIELD, CA 93308-6373
- **Practice address phone:** (805) 364-8450
- **Mailing address:** 121 GRAY AVE STE 200, SANTA BARBARA, CA 93101-1800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/03/2021
- **Last updated:** 11/03/2021
