Provider Demographics
NPI:1578505079
Name:TRUXTUN SURGERY CENTER INC
Entity Type:Organization
Organization Name:TRUXTUN SURGERY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RABI
Authorized Official - Middle Name:
Authorized Official - Last Name:BHOGAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-327-3636
Mailing Address - Street 1:4260 TRUXTUN AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-0691
Mailing Address - Country:US
Mailing Address - Phone:661-327-3636
Mailing Address - Fax:661-327-2888
Practice Address - Street 1:4260 TRUXTUN AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-0691
Practice Address - Country:US
Practice Address - Phone:661-327-3636
Practice Address - Fax:661-327-2888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA120000475261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ13292ZMedicare PIN