Provider Demographics
NPI:1790230761
Name:OAK HILLS MEDICAL CORPORATION
Entity Type:Organization
Organization Name:OAK HILLS MEDICAL CORPORATION
Other - Org Name:HEART VASCULAR AND LEG CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VINOD
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-324-4100
Mailing Address - Street 1:PO BOX 748792
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90074-8792
Mailing Address - Country:US
Mailing Address - Phone:661-324-4100
Mailing Address - Fax:661-324-4600
Practice Address - Street 1:1500 HAGGIN OAKS BLVD
Practice Address - Street 2:202
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-1332
Practice Address - Country:US
Practice Address - Phone:661-654-8346
Practice Address - Fax:661-654-8337
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OAK HILLS MEDICAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-08-19
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty