Organization
ELSA T LAVADIA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NAOMI LOPEZ (BUSINESS OFFICE ADMINISTRATOR)
(661) 634-0955
Entity
Organization
Contact information
Practice address
2323 16TH STREET SUITE 108, BAKERSFIELD, CA 93301-3453
(661) 631-1636
(661) 631-1831
Mailing address
2323 16TH STREET SUITE 108, BAKERSFIELD, CA 93301-3453
(661) 631-1636
(661) 631-1831
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A72966
CA
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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