| Advanced Adult Clinic, Inc. | |
|
1326 H St Ste 1 Bakersfield CA 93301-5134 | |
| (661) 679-6947 | |
| (661) 679-6949 |
| Full Name | Advanced Adult Clinic, Inc. |
|---|---|
| Speciality | Internal Medicine - Adolescent Medicine |
| Location | 1326 H St Ste 1, Bakersfield, California |
| Authorized Official Name and Position | Archie Palis Bella (DIRECTOR) |
| Authorized Official Contact | 7189869228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Adult Clinic, Inc. 1326 H St Ste 1 Bakersfield CA 93301-5134 Ph: (661) 679-6947 | Advanced Adult Clinic, Inc. 1326 H St Ste 1 Bakersfield CA 93301-5134 Ph: (661) 679-6947 |
| NPI Number | 1710424130 |
|---|---|
| Provider Enumeration Date | 01/24/2017 |
| Last Update Date | 01/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710424130 | NPI | - | NPPES |
| C3964449 | Other | CA | CA SECRETARY OF STATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0000X | Internal Medicine - Adolescent Medicine | (California) | Primary |
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