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Organization
ADVANCED ADULT CLINIC, INC.
Active
Organization
ADVANCED ADULT CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARCHIE PALIS BELLA M.D. (DIRECTOR)
(718) 986-9228
Entity
Organization
Contact information
Practice address
1326 H ST STE 1, BAKERSFIELD, CA 93301-5134
(661) 679-6947
(661) 679-6949
Mailing address
1326 H ST STE 1, BAKERSFIELD, CA 93301-5134
(661) 679-6947
(661) 679-6949
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C3964449
CA SECRETARY OF STATE
CA
Enumeration date
01/24/2017
Last updated
01/31/2017
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