Individual
ALVAN R. GENDEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3733 SAN DIMAS ST, BAKERSFIELD, CA 93301-1407
(800) 353-5400
Mailing address
393 E WALNUT ST, 3RD FLOOR PHR SYSTEMS, PASADENA, CA 91188-0001
(626) 405-3640
(626) 405-6768
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C27403
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C274030
—
CA
Enumeration date
01/08/2007
Last updated
07/08/2007
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