| Dr Jacquelyn Kotarac, M.d., Inc. | |
|
3941 San Dimas St Ste. 103a Bakersfield CA 93301-5734 | |
| (661) 322-3225 | |
| (661) 322-2997 |
| Full Name | Dr Jacquelyn Kotarac, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3941 San Dimas St, Bakersfield, California |
| Authorized Official Name and Position | Jacquelyn A. Kotarac (OWNER) |
| Authorized Official Contact | 6613223225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacquelyn Kotarac, M.d., Inc. 3941 San Dimas St 103a Bakersfield CA 93301-5734 Ph: (661) 322-3225 | Dr Jacquelyn Kotarac, M.d., Inc. 3941 San Dimas St Ste. 103a Bakersfield CA 93301-5734 Ph: (661) 322-3225 |
| NPI Number | 1396886172 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396886172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G75557 (California) | Primary |
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