# DENNIS M. CABANGCA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PEGASUS MEDICAL & AESTHETIC CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730747122
- **Authorized official:** DENNIS CABANGCA (CEO)
- **Authorized official phone:** (209) 704-1189

## Contact information

- **Practice address:** 808 IOWA AVE, LOS BANOS, CA 93635-3450
- **Practice address phone:** (209) 826-5913
- **Mailing address:** 808 IOWA AVE, LOS BANOS, CA 93635-3450
- **Mailing address phone:** (209) 826-5913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/31/2019
- **Last updated:** 05/31/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 95002406 | NURSE PRACTITIONER FURNISHING | CA |