Organization
VIPMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TY HECKMAN (MANAGER)
(661) 327-2101
Entity
Organization
Contact information
Practice address
2901 SILLECT AVE STE 201, BAKERSFIELD, CA 93308-6373
(661) 327-2101
(661) 327-2554
Mailing address
2901 SILLECT AVE STE 201, BAKERSFIELD, CA 93308-6373
(661) 327-2101
(661) 327-2554
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
A63639
CA
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Enumeration date
03/16/2018
Last updated
01/17/2025
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