Organization
NEUVA WELLNESS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA BANDA (OFFICE MANAGER)
(661) 633-2229
Entity
Organization
Contact information
Practice address
1801 16TH ST STE B, BAKERSFIELD, CA 93301-5002
(661) 633-2229
(661) 631-4330
Mailing address
1801 16TH ST STE B, BAKERSFIELD, CA 93301-5002
(661) 633-2229
(661) 631-4330
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G643320
—
CA
Enumeration date
09/24/2018
Last updated
09/24/2018
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