# SANDEEP S WALIA, MD, A PROFESSIONAL MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1821629650
- **Authorized official:** MR. SANDEEP S WALIA MD (OWNER)
- **Authorized official phone:** (661) 393-2331

## Contact information

- **Practice address:** 215 CHINA GRADE LOOP, BAKERSFIELD, CA 93308
- **Practice address phone:** (661) 393-2331
- **Practice address fax:** (661) 393-6284
- **Mailing address:** 215 CHINA GRADE LOOP, BAKERSFIELD, CA 93308
- **Mailing address phone:** (661) 393-2331
- **Mailing address fax:** (661) 393-6284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/30/2020
- **Last updated:** 01/30/2020