Organization Name: | MOHAWK MEDICAL & ASSOCIATES, INC. |
NPI Number: | 1609144039 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JORGE E. DEL TORO (OWNER) |
Mailing Address: | 9908 Brimhall Rd Bakersfield |
State: | CA US |
Postal Code: | 933122801 |
Phone Number: | 6613213288 |
Fax Number: | 6618473267 |
NPI Enumeration Date: | 12/13/2011 |
NPI Last Update Date: | 06/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G39608 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |