Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | A55008 | CA |
N | 207PE0004X | Emergency Medical Services | A55008 | CA |
NPI | 1174580880 |
---|---|
Provider Name | Jagdipak S. Heer |
First Address | Bakersfield, CA 93306-4018 |
Second Address | Bakersfield, CA 93305-4144 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 17/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A550080 | (05) | CA |
G80258 | (02) | CA |