Organization
HECTOR DE JESUS M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR M DE JESUS M. D. (PRESIDENT)
(661) 323-3280
Entity
Organization
Contact information
Practice address
2121 17TH ST STE A, BAKERSFIELD, CA 93301-3704
(661) 323-3280
(661) 323-3388
Mailing address
PO BOX 2647, BAKERSFIELD, CA 93303-2647
(661) 323-3280
(661) 323-3388
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OOA602230
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOA602230
—
CA
Enumeration date
11/29/2007
Last updated
05/26/2021
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