Provider Demographics
NPI:1598290371
Name:SILLECT INFUSION CENTER, LLC
Entity Type:Organization
Organization Name:SILLECT INFUSION CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:VIPUL
Authorized Official - Middle Name:
Authorized Official - Last Name:DEV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-327-2101
Mailing Address - Street 1:2901 SILLECT AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-6373
Mailing Address - Country:US
Mailing Address - Phone:661-327-2101
Mailing Address - Fax:661-327-2554
Practice Address - Street 1:2901 SILLECT AVE STE 203
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-6373
Practice Address - Country:US
Practice Address - Phone:661-489-4543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-28
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA63639261QI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy