Doctor Name: | JOHN A. HUEBNER |
NPI Number: | 1023118411 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | PA16658 |
Business Practice Address: | 145 N Brent St Suite 102 Ventura, CA - 930032816 |
Business Phone Number: | 8056432375 |
Business Fax Number: | 8056433511 |
Mailing Address: | 3838 San Dimas St, Suite A-100 BAKERSFIELD |
State: | CA |
Postal Code: | 933012284 |
Phone Number: | 6613278538 |
Fax Number: | 6613275432 |
NPI Enumeration Date: | 09/25/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | PA16658 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |