Individual
ANTHONY S. MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 OLD RIVER RD, BAKERSFIELD, CA 93311-9781
(661) 477-9283
(661) 326-8022
Mailing address
PO BOX 20577, BAKERSFIELD, CA 93390-0577
(661) 477-9283
(661) 326-8022
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A94678
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A946780
MEDI-CAL
CA
Enumeration date
10/04/2006
Last updated
12/02/2021
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