ADVANCED ADULT CLINIC INC. NPI 1710424130

NPI Information

NPI: 1710424130
Provider Name: ADVANCED ADULT CLINIC, INC.
Classification: Internal Medicine - 207RA0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
1326 H ST STE 1
BAKERSFIELD, CA
ZIP 93301
Phone: (661) 679-6947
Get Directions

ADVANCED ADULT CLINIC, INC. is an adolescent medicine internal medicine in Bakersfield, CA. The provider is an internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. ADVANCED ADULT CLINIC, INC. NPI is 1710424130. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1326 H ST STE 1
BAKERSFIELD, CA
ZIP 93301-134
Phone: (661) 679-6947
Fax: (661) 679-6949

The provider's authorized official is Archie Palis Bella .
The authorized official title is Director and has the following contact phone number (718) 986-9228.

The enumeration date for this NPI number is 1/24/2017 and was last updated on 1/31/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RA0000X	Internal Medicine	Adolescent Medicine		CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C3964449	OTHER	CALIFORNIA	CA SECRETARY OF STATE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »