Provider Demographics
NPI:1053710657
Name:PAJARO VALLEY VETERINARY HOSPITAL
Entity type:Organization
Organization Name:PAJARO VALLEY VETERINARY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:BIERSTEDT
Authorized Official - Suffix:
Authorized Official - Credentials:DVM
Authorized Official - Phone:831-722-3364
Mailing Address - Street 1:2013 FREEDOM BLVD
Mailing Address - Street 2:
Mailing Address - City:FREEDOM
Mailing Address - State:CA
Mailing Address - Zip Code:95019-2811
Mailing Address - Country:US
Mailing Address - Phone:831-722-3364
Mailing Address - Fax:
Practice Address - Street 1:2013 FREEDOM BLVD
Practice Address - Street 2:
Practice Address - City:FREEDOM
Practice Address - State:CA
Practice Address - Zip Code:95019-2811
Practice Address - Country:US
Practice Address - Phone:831-722-3364
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7626284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital