Basic Information
Provider Information
NPI: 1285046136
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARCIA-PENA
FirstName: HAMLET
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7800 NILES STREET
Address2:  
City: BAKERSFIELD
State: CA
PostalCode: 933064937
CountryCode: US
TelephoneNumber: 6613284284
FaxNumber: 6616169977
Practice Location
Address1: 7800 NILES STREET
Address2:  
City: BAKERSFIELD
State: CA
PostalCode: 933064937
CountryCode: US
TelephoneNumber: 6613284284
FaxNumber: 6616169977
Other Information
ProviderEnumerationDate: 05/27/2014
LastUpdateDate: 04/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
208D00000XA153375CAY Allopathic & Osteopathic PhysiciansGeneral Practice 

No ID Information.


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