Provider Demographics
NPI:1215406996
Name:PASTOR, ALFREDO (RNFA)
Entity Type:Individual
Prefix:
First Name:ALFREDO
Middle Name:
Last Name:PASTOR
Suffix:
Gender:M
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9510 LAKE SUPERIOR DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-6246
Mailing Address - Country:US
Mailing Address - Phone:714-915-2985
Mailing Address - Fax:
Practice Address - Street 1:9510 LAKE SUPERIOR DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-6246
Practice Address - Country:US
Practice Address - Phone:714-915-2985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-25
Last Update Date:2018-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA581074163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant