Provider Demographics
NPI:1780950543
Name:ALAN F DAKAK MD INC
Entity type:Organization
Organization Name:ALAN F DAKAK MD INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:DAKAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-864-7944
Mailing Address - Street 1:820 34TH ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-2283
Mailing Address - Country:US
Mailing Address - Phone:661-864-7944
Mailing Address - Fax:661-864-7946
Practice Address - Street 1:820 34TH ST
Practice Address - Street 2:SUITE 202
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-2283
Practice Address - Country:US
Practice Address - Phone:661-864-7944
Practice Address - Fax:661-864-7946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-27
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA96755208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty