Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A78102 | CA |
N | 2080P0210X | Pediatric Nephrologist | A78102 | CA |
NPI | 1275556672 |
---|---|
Provider Name | Lyndon Andaya Senar |
First Address | Bakersfield, CA 93311-4939 |
Second Address | Bakersfield, CA 93301-2055 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A781020 | (05) | CA |