Organization
AMERICAN HEALTH ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY LUM (ADMINISTRATOR)
(661) 861-1478
Entity
Organization
Contact information
Practice address
930 OAK ST, BAKERSFIELD, CA 93304-1060
(661) 861-1478
(661) 861-9037
Mailing address
930 OAK ST, BAKERSFIELD, CA 93304-1060
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10454
KERN FAMILY HEALTH CARE
CA
05
—
HHA08264F
—
CA
01
—
ZZZ65027Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
10/03/2006
Last updated
08/22/2020
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