Provider Demographics
NPI:1619153251
Name:PINNACLE EMERGENCY PHYSICIANS OF BAKERSFIELD, A PROFESSIONAL CORP
Entity Type:Organization
Organization Name:PINNACLE EMERGENCY PHYSICIANS OF BAKERSFIELD, A PROFESSIONAL CORP
Other - Org Name:PINNACLE EMERGENCY PHYSICIANS OF BAKERSFIELD A PROFESSIONAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:BURSON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:661-327-4647
Mailing Address - Street 1:PO BOX 920143
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75392-0143
Mailing Address - Country:US
Mailing Address - Phone:877-346-2211
Mailing Address - Fax:626-623-1227
Practice Address - Street 1:420 34TH ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-2237
Practice Address - Country:US
Practice Address - Phone:661-327-4647
Practice Address - Fax:661-326-8507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-14
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty