Provider Demographics
NPI:1225236268
Name:BAKERSFIELD HEMATOLOGY ONCOLOGY, INC.
Entity Type:Organization
Organization Name:BAKERSFIELD HEMATOLOGY ONCOLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VINH-LINH
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-491-5060
Mailing Address - Street 1:PO BOX 21507
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93390-1507
Mailing Address - Country:US
Mailing Address - Phone:661-487-2397
Mailing Address - Fax:661-379-6363
Practice Address - Street 1:4500 MORNING DR STE 105
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-7276
Practice Address - Country:US
Practice Address - Phone:661-491-5060
Practice Address - Fax:661-379-6363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA99397207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI41154Medicare UPIN