Organization
NEUROLOGIC CENTER, INC
Active
Organization
NEUROLOGIC CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASELA P. JUMAO-AS MD (OWNER)
(661) 847-9773
Entity
Organization
Contact information
Practice address
7400 DISTRICT BLVD, STE C, BAKERSFIELD, CA 93313-4817
(661) 847-9773
(661) 847-9776
Mailing address
7400 DISTRICT BLVD, STE C, BAKERSFIELD, CA 93313-4817
(661) 847-9773
(661) 847-9776
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
C43374
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C43374
CA LICENSE
CA
Enumeration date
10/18/2012
Last updated
02/27/2014
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