Mark Tavita Dagdagan in Bakersfield - Family Medicine

Mark Tavita Dagdagan - NPI 1831180587

Mark Tavita Dagdagan is a Family Medicine in Bakersfield, California. Mark Tavita Dagdagan practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark Tavita Dagdagan is 1831180587. The last update date is 2018-11-26.

Mark Tavita Dagdagan's current location address is 5925 Truxtun Ave, Bakersfield, California. You can contact this provider via phone number 6616382273 and fax number 6616382288. The mailing address for Mark Tavita Dagdagan is 5925 Truxtun Ave, Bakersfield, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Tavita Dagdagan
Address 5925 Truxtun Ave, Bakersfield, California
Phone Number 6616382273
Fax Number 6616382288
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1831180587
Provider Enumeration Date 2005-11-02
Last Updated Date 2018-11-26

Provider Mailing Address Detail

Address 5925 Truxtun Ave
City Bakersfield
State California (CA)
Post Code 933090432
Phone Number 6616382273
Fax Number 6616382288

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No C42621
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00C426210 CA CAL. MEDICARE PROVIDER NU
94499024 CA --

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FAQs about Mark Tavita Dagdagan

What is the unique 10-digit identifier code assigned to Mark Tavita Dagdagan by the Centers for Medicare & Medicaid Services?

The Mark Tavita Dagdagan has been issued the NPI (National Provider Identifier) 1831180587 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Mark Tavita Dagdagan's facilities are situated?

The facilities of Mark Tavita Dagdagan are physically located at the following address: 5925 Truxtun Ave, Bakersfield, CA, 933090432.

What is Mark Tavita Dagdagan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mark Tavita Dagdagan is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date did Mark Tavita Dagdagan receive its 1831180587 assignment from the Centers for Medicare & Medicaid Services?

The Mark Tavita Dagdagan was assigned its 1831180587 on 2005-11-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Mark Tavita Dagdagan most recently updated or revised?

The information pertaining to Mark Tavita Dagdagan, including its address, specialty, and other relevant details, was last updated or revised on 2018-11-26.

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