Provider Demographics
NPI:1386632834
Name:MIHALUTA-PASABOC, MIHAELA (MD)
Entity Type:Individual
Prefix:
First Name:MIHAELA
Middle Name:
Last Name:MIHALUTA-PASABOC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1326 H ST STE 1
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-5134
Mailing Address - Country:US
Mailing Address - Phone:661-335-6150
Mailing Address - Fax:661-847-7475
Practice Address - Street 1:1326 H ST STE 1
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-5134
Practice Address - Country:US
Practice Address - Phone:661-335-6150
Practice Address - Fax:661-847-7475
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA76044207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA76044OtherLIC
CABM7683445OtherDEA
CAA76044OtherLIC
CAZZZ22507ZMedicare PIN