Individual
LUIS MARISCAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2620 CHESTER AVE, BAKERSFIELD, CA 93301-2015
(661) 323-4673
Mailing address
PO BOX 22841, BAKERSFIELD, CA 93390-2841
(949) 838-5514
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A-115261
CA
Other
Enumeration date
04/09/2009
Last updated
09/03/2014
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