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Individual

ANDRES ORDONEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
9900 STOCKDALE HWY STE 107, BAKERSFIELD, CA 93311-3633
(661) 664-0600
(661) 664-0621
Mailing address
14013 LA CASCADA CT, BAKERSFIELD, CA 93314-8356
(661) 587-6585

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17856
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00072073
MEDICARE RAILROAD
CA
05
PA178560
CA
Enumeration date
08/30/2006
Last updated
08/04/2014
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