Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | A25213 | CA |
N | 2084N0402X | Child Neurologist | A25213 | CA |
NPI | 1184603151 |
---|---|
Provider Name | Gregorio S Pineda |
First Address | Bakersfield, CA 93301-1902 |
Second Address | Bakersfield, CA 93301-1902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2006 |
Last Update Date | 18/07/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A252130 | (05) | CA |
A24326 | (02) |