Provider Demographics
NPI:1336305523
Name:BAKERSFIELD INJURY & WELLNESS MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:BAKERSFIELD INJURY & WELLNESS MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ORIENTE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ESPOSO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-343-0700
Mailing Address - Street 1:5500 MING AVE
Mailing Address - Street 2:SUITE #170
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-4689
Mailing Address - Country:US
Mailing Address - Phone:661-836-2226
Mailing Address - Fax:661-836-2223
Practice Address - Street 1:5500 MING AVE
Practice Address - Street 2:SUITE #170
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-4689
Practice Address - Country:US
Practice Address - Phone:661-836-2226
Practice Address - Fax:661-836-2223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-06
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28356111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1437262474OtherINDIVIDUAL NPI NUMBER
CAA42316OtherCA. LIC.
CAGR0083054Medicaid
CA1996644OtherECFMG
CA1996644OtherECFMG
CA1437262474OtherINDIVIDUAL NPI NUMBER
CA1996644OtherECFMG