Provider Demographics
NPI:1154689883
Name:CALIFORNIA SPECTRUM SERVICES
Entity Type:Organization
Organization Name:CALIFORNIA SPECTRUM SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NICANOR
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:661-634-0789
Mailing Address - Street 1:841 MOHAWK ST STE 120
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-1506
Mailing Address - Country:US
Mailing Address - Phone:661-634-0789
Mailing Address - Fax:888-886-4071
Practice Address - Street 1:841 MOHAWK ST STE 120
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-1506
Practice Address - Country:US
Practice Address - Phone:661-634-0789
Practice Address - Fax:888-886-4071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-01
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22047103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty