Organization
KERN RIVER SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH MOZINGO (AUTHORIZED OFFICIAL)
(805) 563-0363
Entity
Organization
Contact information
Practice address
2901 SILLECT AVE STE 203, BAKERSFIELD, CA 93308-6373
(805) 364-8450
Mailing address
121 GRAY AVE STE 200, SANTA BARBARA, CA 93101-1800
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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