Search › California › 104100000X
Carlos Fombona
NPI 1649904434 · on the registry since 2022
Practice
- Address
- 5121 Stockdale Hwy
Bakersfield, CA 93309 - Phone
- (661) 868-5066
- Organisation at this address
- Angela Moreno
County Of Kern
County Of Kern
Kern County Bhrs
Telecare CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 307
Additional practice sites
- 5060 California Ave Ste 610, Bakersfield, CA
- 2151 College Ave, Bakersfield, CA
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 106S00000X
171M00000X
390200000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California