Provider Demographics
NPI:1760714471
Name:BAKERSFIELD SURGERY INSTITUTE LLC
Entity Type:Organization
Organization Name:BAKERSFIELD SURGERY INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:OMIDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-714-1888
Mailing Address - Street 1:9001 WILSHIRE BLVD
Mailing Address - Street 2:106
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-1838
Mailing Address - Country:US
Mailing Address - Phone:310-714-1888
Mailing Address - Fax:
Practice Address - Street 1:9610 STOCKDALE HWY
Practice Address - Street 2:A
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-3625
Practice Address - Country:US
Practice Address - Phone:661-323-3900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-04
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical