Organization
CENTRAL NEPHROLOGY MEDICAL GROUP
Active
Organization
CENTRAL NEPHROLOGY MEDICAL GROUP
Active
Parent organization
CENTRAL NEPHROLOGY MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL NEPHROLOGY MEDICAL GROUP
Authorized official
DR. HAROLD J BAER M.D. (VICE PRESIDENT)
(661) 325-4754
Entity
Organization
Contact information
Practice address
5030 OFFICE PARK DR, BAKERSFIELD, CA 93309-0612
(661) 325-4754
(661) 323-0566
Mailing address
5030 OFFICE PARK DR, BAKERSFIELD, CA 93309-0612
(661) 325-4754
(661) 323-0566
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB86566F
—
CA
Enumeration date
03/17/2008
Last updated
03/17/2008
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