| |
6001 Truxtun Ave Ste 220b Bakersfield CA 93309-0679 | |
(661) 489-5999 | |
(661) 489-5991 |
Full Name | |
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Speciality | Internal Medicine |
Location | 6001 Truxtun Ave Ste 220b, Bakersfield, California |
Authorized Official Name and Position | Carlos Arturo Alvarez (OWNER) |
Authorized Official Contact | 6619788005 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 640 Shafter CA 93263-0640 Ph: (661) 978-8007 | 6001 Truxtun Ave Ste 220b Bakersfield CA 93309-0679 Ph: (661) 489-5999 |
NPI Number | 1174142863 |
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Provider Enumeration Date | 04/13/2020 |
Last Update Date | 08/01/2024 |
Medicare PECOS PAC ID | 9234678475 |
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Medicare Enrollment ID | O20240830003604 |
Identifier | Type | State | Issuer |
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1174142863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Carlos A Alvarez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891805610 PECOS PAC ID: 0244124774 Enrollment ID: I20040217000626 |
Provider Name | Lucia M Ortiz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235903865 PECOS PAC ID: 8426409525 Enrollment ID: I20240112000719 |
Provider Name | Joe R Torres |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831440809 PECOS PAC ID: 9739457367 Enrollment ID: I20241018003362 |
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